Oral Cancer Exam

According to the American Cancer Society, over 30,000 cases of oral cancer are diagnosed each year, with over 7000 of these cases resulting in the death of the patient. Fortunately, oral cancer can be diagnosed with an annual cancer exam provided by Dr. Coleman, Dr. Bick or Dr. Smith IV . If caught early, oral cancer can be effectively treated.

Oral cancer is a pathologic process, which begins by producing no symptoms making it hard to recognize without an exam. There are many types of oral cancer, including teratoma, adenocarcinoma, and melanoma. The most common form of oral cancer is malignant squamous cell carcinoma, which typically originates in the lip and mouth tissue. There are many other places in which oral cancers occur, including: the tongue, salivary glands, throat, gums, and face.

Oral Pathology

The inside of the mouth is normally lined with a special type of skin (mucosa) that is smooth and coral pink in color. Any alteration in this appearance could be a warning sign for a pathological process. The most serious of these is oral cancer. The following can be signs at the beginning of a pathologic process or cancerous growth:

• Reddish patches (erythroplasia) or whitish patches (leukoplakia) in the mouth.
• A sore that fails to heal and bleeds easily.
• A lump or thickening on the skin lining the inside of the mouth.
• Chronic sore throat or hoarseness. Difficulty in chewing or swallowing.

These changes can be detected on the lips, cheeks, palate, and gum tissue around the teeth, tongue, face and/or neck. Pain does not always occur with pathology, and curiously, is not often associated with oral cancer. However, any patient with facial and/or oral pain without an obvious cause or reason may also be at risk for oral cancer.

What to Expect from an Oral Cancer Exam

The oral cancer examination is completely painless. Drs. Coleman, Bick or Smith IV will look for abnormalities and feel the face, glands, and neck for unusual bumps. Lasers may be used to highlight pathologic changes, and can “look” below the surface for spots and lesions invisible to the naked eye. Some of the signs that will be investigated are red patches and sores. Red patches on the floor of the mouth, or the front of the tongue, and bleeding sores which fail to heal easier, can be indicative of cancerous changes. Leukoplakia is a hardened white or gray, slightly raised lesion that can appear inside the mouth, and may be cancerous. Signs of these will be examined as well. Finally, soreness, lumps or the general thickening of tissue anywhere in the throat or mouth can signal pathologic signs, and will be examined.

It is also important to note that over 75% of oral cancers are linked with avoidable behaviors such as smoking, tobacco use, and excessive alcohol consumption. We can provide you with literature and options about quitting dangerous behaviors such as tobacco use.

We also recommend performing an oral cancer self-examination monthly and remember that your mouth is one of your body’s most important warning systems. Do not ignore suspicious lumps or sores. Please contact us so we may help.