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Cancer of the Mouth: What are the Signs? 
 
by Kealoha Wells October 17, 2005

A risk factor is anything that increases a person’s chance of getting a disease.

  • Tobacco use is the most common risk factor for cancers of the mouth and throat. Smokers are at much higher risk for mouth cancer than non-smokers. Approximately 90% of mouth and oropharyngeal cases occur in smokers. Users of smokeless tobacco (snuff and chewing tobacco) are 50 times more likely than non-users to get cancers of the gums, cheeks, and inner lips.
  • Second-hand smoke is a risk factor of cancers in general.
  • Alcohol, when used frequently increases the risk of cancer to not only the mouth, but also the throat, esophagus (food pipe), pancreas, and stomach.
  • Poor dental hygiene: the bacteria found in saliva create plaque (waste products that stick to and harden on the teeth). Plaque itself does not create cancer, but it does create an environment where other chemicals (like the ones found in smoke) can settle in. Such irritants stimulate excess cell division in the mouth, and the more the more they divide, the more likely it is that one of them will become cancerous.
  • Poor nutrition is a risk factor for mouth and oropharynx cancers, specifically a diet low in fruits and vegetables.
  • Ultraviolet light exposure: People exposed to a lot of sun are at a higher risk of lip cancer. Over 30% of all lip cancer patients have jobs that require them to work outdoors in the sunlight.
  • Betel nut chewing is a popular practice in India and other parts of South Asia. This practice is strongly associated with tooth loss and mouth cancer, specifically in the cheeks.
  • Some sexually transmitted infections and viruses can lead to cancer. Such infections cause slow healing mouth sores, which in turn forces chronic cell division as the tissue attempts to heal itself.
  • A compromised immune system, related to other medical conditions or treatments of other medical conditions.
  • Plummer-Vinson syndrome is responsible for a very small number of oral cancers. This is a rare combination of iron deficiency and abnormalities of the fingernails, esophagus, tongue, and red blood cells.
  • A history of cancer in the area that ranges from the nose and mouth to the lungs and stomach (the aero-digestive tract).
  • Gender: cancers of the throat and mouth are twice as common in men as women, which may or may not be due to the fact that more men use tobacco and alcohol.
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