Where does oral cancer commonly metastasize to?

Written by Wang Ji Zhong
Internal Medicine
Updated on September 29, 2024
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Oral cancer poses a significant threat to human health, thus early detection and treatment are crucial for effective outcomes. In addition to chronic, non-healing ulcers, early signs of oral cancer include abnormal growths, pain, bleeding, and relatively early metastasis. It can infiltrate nearby muscles involved in chewing and biting, the throat affecting swallowing and speech functions, and also spread to cervical lymph nodes, causing enlargement of these nodes. Therefore, besides the symptoms in the mouth, attention must also be given to adjacent organ tissues, especially the condition of the cervical lymph nodes, to ensure timely diagnosis and treatment for effective results.

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Written by Wang Ji Zhong
Internal Medicine
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Oral cancer is caused by what?

Oral cancer poses a significant threat to human life, and it is important to pay attention to early oral diseases to achieve the goal of early detection and treatment. There are many causes of oral cancer, mainly including the following points: The first is the patient's poor dietary habits, such as long-term alcohol abuse and smoking. Eating hard foods frequently can also cause chronic inflammation. Moreover, neglecting oral hygiene and not having the habit of brushing teeth morning and night can lead to the growth of bacteria and fungi, causing inflammation in the mouth, which can induce oral cancer. Another cause is prolonged irritation of the oral mucosa by inflamed gums, the roots of teeth, and unsuitable dentures, which can produce chronic ulcers and carcinogenesis. A deficiency in vitamin A is also somewhat related to the development of oral cancer.

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Written by Sun Ming Yue
Medical Oncology
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Can oral cancer be transmitted through saliva?

Oral cancer, unlike some other cancers, cannot be transmitted to others through bacteria or pathogens via saliva or other means. Thus, oral cancer is not contagious. The cancer cells in oral cancer can only metastasize within the individual themselves, causing proliferation and spreading of the disease. Therefore, even if it leads to cancer in other parts of the body, it is not transmissible to others. Based on these symptoms, living or sharing meals with someone suffering from oral cancer does not pose a risk of contagion through saliva.

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Written by Cui Fang Bo
Oncology
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Does oral cancer cause an increase in carcinoembryonic antigen?

When oral cancer occurs, there is a possibility that carcinoembryonic antigen (CEA) levels may be elevated. Among the current mainstream tumor markers, CEA is the most broadly applicable. Elevated levels of CEA can occur in a variety of tumors. However, an increase in CEA does not necessarily mean that oral cancer is present. Due to the relatively superficial location of the oral cavity, specific physical examinations of the mouth, or direct visualization of the inside of the mouth using auxiliary instruments, can be used to detect lesions associated with oral cancer. Once oral cancer is diagnosed, the primary treatments are surgery and radiotherapy. After surgery and radiotherapy, adjunctive chemotherapy can be used to improve treatment efficacy.

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Written by Wang Ji Zhong
Internal Medicine
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Early symptoms of oral cancer

Oral cancer poses a significant threat to human health, and its early symptoms are not obvious. Many cases are mistakenly thought to be chronic non-healing oral ulcers, and in fact, the best treatment opportunity has already been missed once it is discovered. Early manifestations include the appearance of lumps and nodules in the mouth. The lumps appear as white, smooth patches, and red patches can emerge in the mouth, along with ulcers. The mouth may also repeatedly bleed. If there are unexplained, long-lasting ulcers that do not heal, and the individual is over 40 years old with the presence of cauliflower-like growths, then it is crucial to immediately seek hospital treatment. Early smear tests and pathological examinations should be conducted for prompt diagnosis and treatment to achieve good outcomes.

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Written by Sun Ming Yue
Medical Oncology
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Can oral cancer be detected by a CT scan?

Oral cancer cannot be detected through a CT scan. Oral CT, also known as cone beam CT (CBCT), is referred to by dentists as CBCT. This type of scan is more effective for assessing hard tissues. If one wants to examine soft tissues, the results are not as good. CT scans are only effective for observing the teeth and jawbone within the mouth, and can only identify the presence of a tumor, but cannot differentiate between benign and malignant tumors. Therefore, oral cancer cannot be detected using this method.