Does oral cancer cause an increase in carcinoembryonic antigen?

Written by Cui Fang Bo
Oncology
Updated on September 19, 2024
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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 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.

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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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Will oral cancer cause facial swelling?

If one develops oral cancer, various swelling phenomena can occur in the tissues inside the mouth. Due to the swelling, it naturally causes the face to become swollen as well, directly affecting the condition of facial swelling during this process. As the degree of oral cancer varies from patient to patient, the severity of various swelling and pain phenomena in the oral tissues also differs, resulting in different facial conditions for each patient. If oral cancer is contracted and not treated and controlled in a timely manner, it can easily lead to swelling and pain in the oral tissues, ultimately causing facial deformity. From the above, it is evident that oral cancer can cause various swelling phenomena in the oral tissues, and due to the swelling and pain, it eventually leads to facial swelling, having a significant impact on the patient's appearance.

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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 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.