Can oral cancer be transmitted through saliva?

Written by Sun Ming Yue
Medical Oncology
Updated on September 20, 2024
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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 Sun Ming Yue
Medical Oncology
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Can oral cancer be detected by a CT scan?

Oral cancer cannot be detected through a CT scan. Oral CT, also known as cone beam CT (CBCT), is referred to by dentists as CBCT. This type of scan is more effective for assessing hard tissues. If one wants to examine soft tissues, the results are not as good. CT scans are only effective for observing the teeth and jawbone within the mouth, and can only identify the presence of a tumor, but cannot differentiate between benign and malignant tumors. Therefore, oral cancer cannot be detected using this method.

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Written by Cui Fang Bo
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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 Cui Fang Bo
Oncology
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Does oral cancer cause an increase in carcinoembryonic antigen?

When oral cancer occurs, there is a possibility that carcinoembryonic antigen (CEA) levels may be elevated. Among the current mainstream tumor markers, CEA is the most broadly applicable. Elevated levels of CEA can occur in a variety of tumors. However, an increase in CEA does not necessarily mean that oral cancer is present. Due to the relatively superficial location of the oral cavity, specific physical examinations of the mouth, or direct visualization of the inside of the mouth using auxiliary instruments, can be used to detect lesions associated with oral cancer. Once oral cancer is diagnosed, the primary treatments are surgery and radiotherapy. After surgery and radiotherapy, adjunctive chemotherapy can be used to improve treatment efficacy.

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Written by Wang Ji Zhong
Internal Medicine
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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.

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Written by Sun Ming Yue
Medical Oncology
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How should cervical lymph node metastasis of oral cancer be treated?

Patients with lymph nodes, if they experience short-term lymph node enlargement. It could potentially be a symptom of metastatic cancer of the lymph nodes, typically manifested in cancers of the nose, pharynx, lung, and esophagus. If the condition is severe, it may cause pain. If the disease spreads to the ear, a comprehensive examination of the patient is still necessary to find the root of the disease. Once the patient's disease begins to metastasize, it indicates that the cancer has reached an advanced stage, and it is recommended that the patient undergo comprehensive treatment with radiotherapy and chemotherapy. If it is non-small cell lung cancer, targeted drug therapy is recommended, but it is generally advised to perform a targeted drug test in advance. If the mutation allows, it is permissible to take the medication; if there is no mutation, it is better not to use it.