"Tobacco and alcohol use can affect the risk of lip and oral cavity cancer."


Diagnosis

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Physical exam of the lips and oral cavity:


An exam to check the lips and oral cavity for abnormal areas. The medical doctor or dentist will feel the entire inside of the mouth with a gloved finger and examine the oral cavity with a small long-handled mirror and lights. This will include checking the insides of the cheeks and lips; the gums; the roof and floor of the mouth; and the top, bottom, and sides of the tongue. The neck will be felt for swollen lymph nodes. A history of the patient’s health habits and past illnesses and medical and dental treatments will also be taken.


  • Endoscopy
  • Biopsy
  • MRI
  • CT scan (CAT scan)
  • PET scan

Treatment

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Treatment options depend on the following:


  • The stage of cancer.
  • The size of the tumor and where it is in the lip or oral cavity.
  • whether the patient's appearance and ability to talk and eat can stay the same.
  • The patient's age and general health.
Radiation therapy

Radiation therapy is a cancer treatment that uses high-energy x-rays or other types of radiation to kill cancer cells or keep them from growing. There are two types of radiation therapy:


  • External radiation therapy uses a machine outside the body to send radiation toward cancer.
  • Internal radiation therapy uses a radioactive substance sealed in needles, seeds, wires, or catheters that are placed directly into or near cancer.

The way radiation therapy is given depends on the type and stage of the cancer being treated. External and internal radiation therapy is used to treat lip and oral cavity cancer.


Radiation therapy may work better in patients who have stopped smoking before beginning treatment. It is also important for patients to have a dental exam before radiation therapy begins so that existing problems can be treated.


Chemotherapy
  • Chemo (typically combined with radiation therapy) may be used instead of surgery as the main treatment for some cancers. (This is called chemoradiation).
  • Chemo (combined with radiation therapy) may be given after surgery to try to kill any small deposits of cancer cells that may have been left behind. This is known as adjuvant chemotherapy.
  • Chemo (sometimes with radiation therapy) may be used to try to shrink some larger cancers before surgery. This is called neoadjuvant or induction chemotherapy. In some cases, this makes it possible to use less radical surgery and remove less tissue. This can lead to fewer serious side effects from surgery.
  • Chemo (with or without radiation therapy) can be used to treat cancers that are too large or have spread too far to be removed by surgery. The goal is to slow the growth of cancer for as long as possible and to help relieve any symptoms the cancer is causing.

Hyper fractionated radiation therapy
  • Treatment for lip and oral cavity cancer may cause side effects.
  • Patients may want to think about taking part in a clinical trial.
  • Patients can enter clinical trials before, during, or after starting their cancer treatment.

Follow-up tests may be needed.

Hyperthermia therapy
  • Surgery: Surgery (removing cancer in an operation) is a common treatment for all stages of the lip and oral cavity cancer. Surgery may include the following:
  • Wide local excision: Removal of cancer and some of the healthy tissue around it. If cancer has spread into the bone, surgery may include removal of the involved bone tissue.
  • Neck dissection: Removal of lymph nodes and other tissues in the neck. This is done when cancer may have spread from the lip and oral cavity.
  • Plastic surgery: An operation that restores or improves the appearance of parts of the body. Dental implants, a skin graft, or other plastic surgery may be needed to repair parts of the mouth, throat, or neck after removal of large tumours.
Research & Publication

Clinical trials are research studies involving real patients to test if a new treatment or procedure is safe, effective and may be better than established options. The goal is to learn which treatments work best for certain illnesses or groups of people.


Clinical trials follow strict scientific standards. These standards help protect patients and produce more reliable study results


Winning Over Cancer

Dr. Naveen Hedne, Senior Consultant & Lead - Surgical Oncology talks about managing head & neck cancers during COVID-19. He said head & neck cancers can be easily identified & one should not ignore its symptoms, He further added that APCC is well equipped and ready to treat patients during the pandemic situation.

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Mr. Param Gandhi from Surat, Gujarat talks about the Proton Therapy for his father at Apollo Proton Cancer Centre. He also talks about the standard of care and treatment journey while conveying his heartfelt gratitude to Dr. Ghosh, Dr.Sapna, Dr Naveen, Dr.Vidyadharan, Dr.Pradeep and the entire team of Head & Neck Cancer Management for their excellent guidance & support. Wishing Param & his family good health always.

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Mr. Kishore Jain from Mumbai talks to us about his brother-in-law who was diagnosed with oral cancer and the treatment he underwent at Apollo Proton Cancer Centre. He thanks Dr.Sapna Nangia, Dr.T.Raja, Dr.Naveen, Dr. S. Vidyadharan and the entire team for their extensive help and making him feel optimistic during the treatment period. He is happy to see his brother-in-law who has recovered and is looking fit & healthy today.

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Ms.Pooja from Delhi speaks to us about her family member who was diagnosed with head & neck cancer in February, this was when COVID - 19 was picking up in India. She describes how Dr. Sapna Nangia (Director - Head Neck & Breast, Department of Radiation Oncology) gave her hope by explaining about Proton Therapy at Apollo Proton Cancer Centre.

While the treatment is still going on, she wants to thank the entire team at APCC for taking care of her travel formalities during this challenging time.

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Other Head & Neck Cancers

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