Where does oral cancer commonly metastasize to?

Written by Wang Ji Zhong
Internal Medicine
Updated on September 29, 2024
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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.

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Written by Wang Ji Zhong
Internal Medicine
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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.

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Written by Sun Ming Yue
Medical Oncology
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Can oral cancer be transmitted through saliva?

Oral cancer, unlike some other cancers, cannot be transmitted to others through bacteria or pathogens via saliva or other means. Thus, oral cancer is not contagious. The cancer cells in oral cancer can only metastasize within the individual themselves, causing proliferation and spreading of the disease. Therefore, even if it leads to cancer in other parts of the body, it is not transmissible to others. Based on these symptoms, living or sharing meals with someone suffering from oral cancer does not pose a risk of contagion through saliva.

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Written by Cui Fang Bo
Oncology
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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.

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Written by Liu Ping
Oncology
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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.

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Written by Fang Xiao
Dentistry
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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.