Welcome to another insightful episode of Inline!
In this episode, we discuss one of the most critical topics in oral health- oral cancer-covering its risk factors, early detection, and the latest advancements in treatment.
We are honored to be joined by Dr. Abantika Mookherjee, a renowned oral and maxillofacial surgeon at Tara Polyclinic, Kolkata, India. Dr. Mookherjee discusses the primary risk factors for oral cancer, such as tobacco use, excessive alcohol consumption, and HPV infections. She also emphasizes the importance of early detection, such as routine screenings and self-examinations, in improving patient outcomes.
Additionally, Dr. Mookherjee highlights the importance of raising awareness about this often-overlooked health concern.
Key discussion points:
1) Risk Factors for Oral Cancer (0:55)
Tobacco usage is one of the leading risk factors for oral cancer, including various forms (smoking, chewing tobacco, snuff, e-cigarettes)
The increasing role of HPV (Human Papillomavirus), especially in oropharyngeal cancer, and the link to sexual behavior and lifestyle
Importance of regular dental checkups and monitoring for high-risk individuals, such as those with a family history or relevant social history
2) Challenges in Diagnosing HPV-related Oropharyngeal Cancers (2:58)
Difficulty in detecting HPV-related cancers, as symptoms may not be visible or painful
Contrast with tobacco-related oral cancers, which typically present as lesions or patches
Clinical signs are enlarged lymph nodes, difficulty swallowing, and voice changes
Diagnostic methods, including the use of DNA tests (PCR) and biopsy for confirmation
3) When to Seek Medical Attention (6:04)
Warning signs like persistent ulcers or sores, especially those that do not heal within two weeks
Other symptoms, including swollen lymph nodes, difficulty swallowing, and changes in voice
The importance of early consultation with a dentist or doctor, particularly for those with a history of tobacco or alcohol use
4) Differentiating Normal Mouth Sores from Cancerous Lesions (6:59)
Differences between cold sores (herpes-related) and cancerous lesions, emphasizing the persistence of the latter as a key indicator
Discussion on viral vs. cancerous sores and the need for medical evaluation when sores persist beyond two weeks
5) Limitations in the Diagnosis (8:11)
Lack of awareness and delayed consultation, especially in rural and suburban areas
Socioeconomic challenges and accessibility to healthcare
6) Technologies for Early Detection (11:12)
Use of Toluidine Blue staining for non-invasive detection
Fine-needle aspiration cytology (FNAC) and its role in detecting cancerous cells
7) Public Awareness and Its Impact on Early Detection (13:07)
The need for comprehensive public awareness campaigns, including social media, community programs, and school initiatives
The role of healthcare professionals and government involvement in spreading awareness about oral cancer risks and early signs
HPV vaccination as a preventive measure, highlighting its increasing availability and importance in reducing the risk of HPV-related cancers
8) Education for High-Risk Populations (15:58)
Strategies for educating high-risk groups, particularly those with a history of tobacco use or sexually transmitted HPV infections
Overcoming stigma around discussing HPV and sexual behavior through healthcare professionals, such as gynecologists, during routine visits
Take-Home Messages:
Tobacco and HPV are significant risk factors for oral and oropharyngeal cancers
Early detection is crucial and can be facilitated through regular dental visits
Persistent sores or patches in the mouth should not be ignored and require medical evaluation
HPV-related cancers may not present with obvious symptoms, making proactive screening essential
Advances in diagnostic tools, such as Toluidine blue staining and PCR tests, are improving early detection rates
Public awareness and healthcare accessibility are key to reducing delayed diagnoses and improving survival rates
About Dr. Abantika Mookherjee:
Dr. Abantika Mookherjee is an accomplished Oral and Maxillofacial Surgeon with a BDS from Dr. R Ahmed Dental College, Calcutta, and an FRCS in Oral and Maxillofacial Surgery from the Royal College of Surgeons, UK. She worked for six years in the NHS, gaining extensive experience in complex surgical procedures, trauma care, and reconstructive surgery. Currently, she runs a successful private practice in Calcutta, specializing in a wide range of oral and maxillofacial treatments, including jaw surgery, facial trauma management, cosmetic surgery, and dental implantology. With her global training and commitment to the highest standards of patient care, Dr. Mookherjee has earned a reputation for providing advanced and compassionate care, making significant contributions to both the medical community and her patients' well-being.
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