I am not sure what the warning signs of oral cancer are?
Hello, actually I'm asking for my husband.
Last month, he developed a growth in his mouth that was very painful at first, but over the past month, it has stopped hurting.
However, it seems that there might be more lesions forming.
He initially visited an ENT specialist, who prescribed some medication, but the doctor mentioned that if it doesn't improve in two to three weeks, a biopsy may be necessary...
What should I do now? He has a history of betel nut chewing, so...
please let me know, thank you!
amy, 20~29 year old female. Ask Date: 2005/09/30
Dr. Zeng Guanghui reply Dentistry
Patients who have consumed betel nut and are experiencing a growth in the mouth that initially causes pain but improves over time should perform a self-examination.
Check if there are any sores in the mouth that have not healed for more than two weeks, if there is any discoloration of the oral mucosa, or if there are any lumps or protrusions.
Additionally, assess if there is any discomfort when moving the tongue or swallowing.
If any of these conditions are present, it is advisable to seek medical attention promptly for further evaluation, and a biopsy may be necessary.
Reply Date: 2005/09/30
More Info
When it comes to understanding oral cancer symptoms, it is crucial to be aware of the various signs and risk factors associated with this condition. Oral cancer can manifest in several ways, and early detection is key to improving outcomes. In your husband's case, the appearance of a painful lesion that later became painless, along with the development of additional lesions, raises some concerns that warrant further investigation.
Symptoms of Oral Cancer
1. Persistent Sores: One of the most common symptoms of oral cancer is the presence of sores or ulcers in the mouth that do not heal within two weeks. If your husband has noticed any lesions that have persisted beyond this timeframe, it is essential to seek medical advice.
2. Lumps or Thickening: The development of lumps or thickened areas in the mouth, gums, or throat can be indicative of oral cancer. These may be painless initially, which can lead to delays in seeking treatment.
3. Changes in Oral Mucosa: Any changes in the color or texture of the oral mucosa, such as white patches (leukoplakia) or red patches (erythroplakia), should be evaluated by a healthcare professional.
4. Difficulty Swallowing or Speaking: If your husband experiences difficulty swallowing, chewing, or speaking, this could signal a more serious issue that requires immediate attention.
5. Unexplained Bleeding: Any unexplained bleeding in the mouth, particularly from lesions or sores, should be investigated.
6. Numbness or Pain: While your husband initially experienced pain, the transition to a painless state can sometimes occur in malignant lesions. Numbness or a persistent feeling of discomfort in the mouth or throat is also concerning.
Risk Factors
Your husband's use of betel nut (檳榔) is a significant risk factor for oral cancer. Betel nut chewing is associated with an increased risk of developing oral lesions and cancers, particularly in certain populations. Additionally, tobacco use, excessive alcohol consumption, and a history of human papillomavirus (HPV) infection are also notable risk factors.
Recommended Actions
Given the symptoms your husband is experiencing, here are some steps you should consider:
1. Seek a Specialist: If the ear, nose, and throat (ENT) doctor has not provided a definitive diagnosis or treatment plan, it may be beneficial to consult with an oral surgeon or an oral pathologist. These specialists are trained to evaluate oral lesions and can perform biopsies if necessary.
2. Biopsy: If the lesions do not improve within a few weeks, a biopsy may be warranted. This procedure involves removing a small sample of tissue from the lesion for laboratory analysis to determine if cancerous cells are present.
3. Monitor Symptoms: Keep a close watch on any changes in the lesions, including size, color, or associated symptoms like pain or bleeding. Documenting these changes can provide valuable information to healthcare providers.
4. Lifestyle Changes: Encourage your husband to reduce or eliminate the use of betel nut and tobacco products, as these can exacerbate oral health issues and increase cancer risk.
5. Regular Check-ups: Regular dental check-ups are essential for maintaining oral health and catching any potential issues early. Ensure that your husband sees a dentist who is aware of his symptoms and risk factors.
Conclusion
In summary, the presence of persistent lesions in the mouth, especially in the context of risk factors like betel nut use, should not be taken lightly. Early intervention is crucial in managing oral cancer effectively. Encourage your husband to seek further evaluation from a specialist and to monitor his symptoms closely. Taking proactive steps can significantly impact his health outcomes.
Similar Q&A
Symptoms of HIV and Oral Cancer: What to Look Out For
Hello Doctor: In mid-June, I had an oral candidiasis and lost 6 kilograms in two months. However, after applying the medication for three days, I was completely cured, and there has been no recurrence since then. I also underwent an oral cancer examination during that time, which...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, Based on your literal question, oral lesions associated with HIV primarily manifest as candidiasis, while oral cancer is characterized by mass-like lesions. However, most painful oral lesions are benign, and only a very small number that do not heal within a month...[Read More] Symptoms of HIV and Oral Cancer: What to Look Out For
Understanding Oral Cancer Symptoms: A Patient's Journey with Dentures
I have endured wearing ill-fitting dentures for two months, and I have not worn them for the past six months. During this time, I have experienced the following symptoms in the maxillary mucosa: the most severely pressured areas under the dentures are swollen, there are increasin...
Dr. Zeng Guanghui reply Dentistry
The above situation appears to be an inflammatory condition of the oral mucosa caused by a dysfunction of the body's immune system. It is recommended to consult with an oral surgeon or an oral pathologist at a major hospital for further diagnosis and treatment.[Read More] Understanding Oral Cancer Symptoms: A Patient's Journey with Dentures
Understanding Gum Inflammation: Is It a Sign of Oral Cancer?
My husband has recently been experiencing unexplained oral bleeding. He went to the hospital for an examination, and the doctor said it was gingivitis. After having his teeth cleaned, there was no improvement. Could this condition be considered a symptom of oral cancer?
Dr. Yang Zhiren reply Dentistry
Hello: This is not oral cancer, but there are signs of periodontal disease. Please go to the hospital for further periodontal treatment. Dr. Yang Zhiren, Director of Dentistry, Hsinchu Hospital, Department of Health, Executive Yuan.[Read More] Understanding Gum Inflammation: Is It a Sign of Oral Cancer?
Understanding Tongue Issues: Symptoms and Concerns About Oral Cancer
A few days ago, I experienced severe ulceration under my tongue, with a relatively large ulcer area. After visiting a doctor and applying the medication prescribed for a few days, it has finally healed to a large extent. However, I now notice that the front part of my tongue feel...
Dr. Lin Jiayong reply Dentistry
Hello: The most direct way to confirm whether it is oral cancer is through a biopsy. Whether a biopsy is necessary will be determined by the physician who is evaluating your oral condition. It is recommended that you discuss with your treating physician whether a biopsy is needed...[Read More] Understanding Tongue Issues: Symptoms and Concerns About Oral Cancer
Related FAQ
(Dentistry)
Oral Cancer(Oncology)
Oral(Dentistry)
Oral Ulcer(Dentistry)
Halitosis(Dentistry)
Periodontal Disease(Dentistry)
Toothache(Dentistry)
Tongue Pain(Dentistry)
Oral Cavity(Internal Medicine)
Bruxism(Dentistry)