Most oral cancer patients never said no to tobacco

CHANDIGARH: Each year, mouth cancer continues to take several young lives as the disease is most commonly seen in those male patients who never say no to tobacco products. However, the oral cancer count has increased drastically in the past one year. Compared with the last year, PGI has seen a 40-50% increase in such cases this year.
In a study conducted by PGI doctors two years ago, it was found that oral cancer is one of the major lifestyle diseases in the present times.Tobacco, alcohol unhealthy diet, physical inactivity and lack of awareness remain the underlying reasons behind this form of cancer. Tobacco use and excessive alcohol consumption have been estimated to account for about 90% of cancers in oral cavities.
Talking about the need to aware oneself regarding this form of cancer, Dr Nitin Jain, dermatologist, said, "Oral cancer is the most common form of cancer among young people, especially males, which often leads to death. India has the highest incidence of mouth cancer in the world. Chewing tobacco and betel quid is a significant risk factor for oral cancer. Betel quid contains a variety of ingredients such as lime, catechu and areca nut and is often mixed with tobacco. Since micronutrient deficiencies of iodine, iron, and vitamin A are highly prevalent in children, which makes the younger lot much more vulnerable to this disease."
Over 70% of such cases are detected late as oral cancer patients approach doctors for treatment at a very advanced stage. Apart from the pain and misery cancer inflicts on the patient as well her family, the expensive treatment leaves families under debt for years to come. White lesions in the mouth, which are asymptomatic oral pathological entities with a potential to form cancer, include dysplasia, erythroplasia, leukoplakia, lichen planus and submucosal fibrosis. The proper diagnosis of oral pre-cancerous lesions for early detection and intervention programmes can make a world of difference. "Always get an incurable mouth ulcer thoroughly checked. The lesions appear as white spots, lines, blisters and ulcers," he added.
Amit Shankar, senior resident doctor of ENT department at PGI, said, "Oral cancer risk increases when tobacco is used in combination with alcohol or areca nut. It has also been seen in such patients that those who take a low-fruit and vegetable diet are more at risk. If the patient approaches medical authorities at an initial stage, she can be cured in time."
Prevention
People can protect themselves from cancer if they stop chewing tobacco. Even changes in lifestyle and regular screening can bring down the death countdrastically.
Turmeric plays an important role in cancer prevention. Researchers have also found that cumin seeds, chilies, kalakhar, amrita bindu, and various plant seeds like poppy (khas-khas) and basil leaves contain anti-cancer properties
Deficiency of vitamin A, C and E may contribute to high prevalence of oral cancer cases
Symptoms
Pale complexion and discoloured face
A white or red patch on soft tissues of the mouth
Such ulcers and blisters are painless at an initial stage
May develop a burning sensation or pain when the tumor is advanced
Underlying reasons:
l Obesity and lack of physical activity are associated with increased risk of breast and endometrial cancer
l Patilloma virus is a direct causecause Excessive tobacco and alcohol intakintake Lack of awareness regarding side effects Intake of diet that is high in saturated fats