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Oral Cancer Exam

According to research conducted by the American Cancer society, more than 30,000 cases of oral cancer are diagnosed each year.  More than 7,000 of these cases result in the death of the patient.  The good news is that oral cancer can easily be diagnosed with an annual oral cancer exam, and effectively treated when caught in its earliest stages.

Oral cancer is a pathologic process which begins with an asymptomatic stage during which the usual cancer signs may not be readily noticeable. This makes oral cancer examinations performed in the office critically important. The most common type of oral cancer is the malignant squamous cell carcinoma.  This oral cancer type usually originates in lip and mouth tissues. It is important to note that around 75% of oral cancers are linked to modifiable behaviors such as smoking, tobacco use, and excessive alcohol consumption.

There are many different places in the oral cavity and maxillofacial region in which oral cancers commonly occur, including:

  • Lips
  • Mouth
  • Tongue
  • Salivary Glands
  • Oropharyngeal Region (throat)
  • Gums
  • Face

The following abnormalities are looked for during a routine oral cancer exam:

  • Red patches and sores – Red patches on the floor of the mouth, the front and sides of the tongue, white or pink patches which fail to heal and slow healing sores that bleed easily can be indicative of pathologic (cancerous) changes.
  • Leukoplakia – This is a hardened white or gray, slightly raised lesion that can appear anywhere inside the mouth. Leukoplakia can be cancerous, or may become cancerous if treatment is not sought.
  • Lumps – Soreness, lumps or the general thickening of tissue anywhere in the throat or mouth can signal pathological problems.

If there are any areas of concern a biopsy or smear may be taken, or a referral to an oral surgeon will be made to follow-up.


If you have any questions or concerns about oral cancer, please ask us.