Oral cancer


What should I do about oral cancer causing facial perforation?
Patients with oral cancer presenting with facial perforation symptoms can be treated with the following clinical methods: First, local dressing changes should be performed on the perforated facial tissue. Topically applied antibiotics can be used to prevent and treat infections caused by the perforation. Additionally, topical anesthetics can be applied to alleviate pain. Second, as facial perforations are often due to cancerous tissue damage, considering the application of topical chemotherapy drugs can promote the shrinkage of cancerous lesions at the perforation site, which is beneficial for the growth of normal tissues.


What are the early symptoms of oral cancer?
Clinically, oral cancer encompasses a wide range of conditions. Early symptoms in patients include the following aspects: many patients experience recurring, hard-to-heal ulcers on the tongue, some manifest ulcerative lesions on the lips, or small nodular lesions which generally do not show obvious symptoms initially. Some patients show symptoms of infection or pain, while others may experience recurring bleeding of the gums, loosening of the teeth, or discomfort in the throat during swallowing. The early symptoms in patients are not typical, leading many to not seek medical consultation early on. It is usually not until they experience severe difficulty in opening the mouth or swallowing, or when the patients have difficulty speaking, that they will seek medical attention.


Does frequent oral ulcers easily lead to oral cancer?
Patients who frequently suffer from oral ulcers generally do not easily get them. Patients should not worry too much. Pay attention to oral hygiene in daily life. If the occurrence of oral ulcers is occasional, and not frequently appearing singly, it is recommended that patients can undergo localized treatment for oral ulcers. They can use oral ulcer patches, which are applied to the ulcerated area in the mouth and can help heal the ulcers. Additionally, it is suggested that patients should definitely pay attention to oral hygiene. They can appropriately use oral sprays, and it is important to rinse the mouth promptly after meals. Avoid eating spicy, irritating foods, and overly hot foods. Relax and if oral ulcers repeatedly occur severely, it is recommended that patients seek medical attention promptly.


Can oral cancer be cured?
Once oral cancer is diagnosed, it is confirmed as malignant, and only a certain proportion of patients with early-stage disease can be cured. After the diagnosis of oral cancer, surgery is the preferred treatment option. It involves the removal of the clearly defined tumor within the mouth, and if necessary, dissection of the lymph nodes in the neck. After radical resection, adjunctive radiotherapy and chemotherapy are commonly used to improve disease control. Some early-stage patients can be cured after undergoing the above treatments. However, when oral cancer progresses to a certain extent, even after radical surgery and postoperative adjuvant radiotherapy and chemotherapy, the risk of recurrence and metastasis remains high, making it incurable.


How to determine if it is oral cancer?
To determine if it is oral cancer, one can visit the dentistry department of a formal hospital for an oral examination and a local pathological biopsy. If cancer cells are found, it can be diagnosed as oral cancer. Additionally, CT scans and MRI can be performed to determine the location and size of the lesion. The onset of oral cancer generally starts with oral ulcers. If an oral ulcer persists and does not heal for more than two weeks, and the affected area shows cauliflower-like protrusions, hardening at the base, palpable lymph nodes, pain or exacerbation, and it affects eating and speech causing some obstacles or changes, early surgical treatment should be sought after the detection of oral cancer. Immediate radical surgery should be undertaken. If surgery is not possible, treatment through radiation or chemotherapy to reduce the tumor size before proceeding with surgical excision is recommended.


Where does oral cancer commonly metastasize to?
Oral cancer poses a significant threat to human health, thus early detection and treatment are crucial for effective outcomes. In addition to chronic, non-healing ulcers, early signs of oral cancer include abnormal growths, pain, bleeding, and relatively early metastasis. It can infiltrate nearby muscles involved in chewing and biting, the throat affecting swallowing and speech functions, and also spread to cervical lymph nodes, causing enlargement of these nodes. Therefore, besides the symptoms in the mouth, attention must also be given to adjacent organ tissues, especially the condition of the cervical lymph nodes, to ensure timely diagnosis and treatment for effective results.


Can oral cancer ulceration with pus infect others?
Oral cancer ulceration and pus discharge indicate that the tumor cells and cancer cells are locally invasive and infiltrative, which is quite severe. Since the mouth communicates and comes into contact with the external environment, bacterial infection is inevitable. Thus, ulceration often coincides with bacterial infection, leading to inflammation and pus discharge, which can infect others. In terms of infection, bacteria can definitely be transmitted through direct contact and bodily fluid contact. However, it is generally believed that tumor cells are not transmitted to others via direct contact or bodily fluids, considering that a normal person has a functioning immune system capable of recognizing and destroying a small number of tumor cells. Additionally, the likelihood of tumor cells from one person being transmitted to another through bodily fluids is considered very low.


Can oral cancer be detected with an ultrasound?
If a patient has oral cancer, it can generally be detected by an ultrasound. Patients with oral cancer are prone to oral ulcers and may experience pain. In severe cases, it can affect normal life and work. Patients should go to a regular hospital for a detailed examination and choose the appropriate treatment method under the guidance of a doctor. In daily life, it is advisable to drink more plain water to reduce inflammation in the mouth and achieve a quicker recovery.


Is a gum lump oral cancer?
Many oral diseases can present with gum swelling, such as gingivitis, periodontal abscess, and periapical periodontitis, all of which can cause swelling. Therefore, gum swelling is not necessarily indicative of oral cancer. However, the early symptoms of oral cancer are not very clear and typically include persistent oral ulcers that heal slowly, bleeding, pain, and swelling. Particularly in patients over 40 years of age, if such symptoms are present, it is advisable to visit a dental specialist hospital for an examination to treat the primary disease timely and to rule out the possibility of oral cancer.


Can oral cancer patients drink alcohol?
Patients who have been definitively diagnosed with oral cancer are best advised not to consume alcohol, which can be classified into the following situations: First, patients in whom oral cancer is discovered late and who are unable to undergo curative surgery still have cancerous lesions present. The vasculature of the tumor surface is relatively fragile, and drinking alcohol can cause damage to the local mucosa, leading to significant pain and even bleeding. Second, patients who have been diagnosed early with oral cancer and have undergone surgery will have scar tissue formation locally. Drinking alcohol can cause further damage to the mucosa and even irritate the scars. Third, patients who receive radiation therapy for oral cancer have normal oral mucosa that is already susceptible to radiation damage. Drinking alcohol at this time can exacerbate this type of radiation-induced mucosal damage.