How to determine if it is oral cancer?

Written by Fang Xiao
Dentistry
Updated on November 02, 2024
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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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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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Can oral cancer be treated?

Oral cancer poses a significant threat to human life, and it is crucial to detect and treat it early for optimal outcomes. Individuals over the age of 40, especially those frequently experiencing oral ulcers, particularly with symptoms of bleeding and pain, or when there is a growth at the base of the ulcer, should immediately seek hospital examination for timely pathological diagnosis. Early detection followed by prompt surgery, and deciding whether further radiotherapy or chemotherapy is needed based on the severity of the condition, can achieve the best treatment results. Therefore, oral cancer is treatable and can be cured if detected early.

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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.

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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.

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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.