5 facts about mouth cancer

Written in association with: Professor Kavin Andi
Published: | Updated: 30/04/2019
Edited by: Laura Burgess

Oral cancer is where a tumour develops in the lining of the mouth. It comes under the umbrella term, “cancers of the head and neck.” If a GP or dentist suspects that a patient has mouth cancer they will be referred to a specialist such as an oral and maxillofacial surgeon for more tests and treatment.

1. How common is mouth cancer?

Mouth cancer is the sixth most common cancer in the world although it is less common in the UK. Most cases occur in adults aged 50 to 74 and a little less than 7,000 people are diagnosed with the disease every year.
 

2. What are the symptoms of mouth cancer?

The most common symptoms of oral cancer are sore ulcers that don’t heal within several weeks, lumps in the mouth that don’t disappear, and persistent lumps in the lymph glands in the neck. There may also be pain when swallowing, unexplained weight loss, bleeding in the mouth, a loosened tooth or teeth, difficulty moving the jaw and red or white patches on the lining of the mouth.

3. Will smoking cause oral cancer?

Mouth cancers are closely linked to tobacco use although not everyone who is diagnosed with mouth cancer uses tobacco. Tobacco also makes treatment of cancer less effective and harder for the body to heal. It may also increase the risk of cancer recurring or causing another type of cancer in the future. Other causes of oral cancer include drinking alcohol combined with smoking heavily, and those who are infected with the human papilloma virus (HPV).

4. If I quit smoking now, is it enough to prevent mouth cancer?

It is never too late to quit smoking and people who stop using tobacco after years of use can significantly reduce the risk of contracting smoking related illnesses such as oral cancer. The sooner someone stops, the sooner the risk goes down.

5. What is the survival rate of mouth cancer?

The outlook for oral cancer depends on which part of the mouth is affected and where the cancer has spread to. If diagnosed early, a complete cure is possible in up to 90% of cases through surgery alone. If there are cases where the cancer is larger, there is a good chance of curing it but surgery will be followed with radiotherapy, and maybe even chemotherapy. On average, around 60% of people with oral cancer will live at least five years after diagnosis and many much longer.

By Professor Kavin Andi
Oral & maxillofacial surgery

Professor Kavin Andi is an award-winning consultant oral and maxillofacial surgeon and head and neck surgeon based in London who specialises in head and neck cancer.

Once his dual qualifications in medicine and dentistry had been completed at Bart’s and The London Schools of Medicine and Dentistry, Professor Andi undertook his basic surgical training in Essex. He then went back to the London Deanery Higher Surgical Training Programme in Oral and Maxillofacial surgery at The Royal London Hospital, St Bartholomew’s Hospital, Luton and Dunstable Hospital, University College London and Guy’s and St Thomas’ Hospital.

He was ranked first among the highest level maxillofacial, ENT, and plastic surgeons in the UK by the joint committee for Higher Surgical Training following the reception of his FRCS award. This allowed Professor Andi to successfully complete a highly competitive Advanced Head and Neck Interface Training Fellowship at Guy’s Hospital. He did this in conjunction with a Fellowship of The Higher Education Academy award.

Professor Andi’s areas of interest include augmented reality, robotic surgery, and 3D virtual surgical planning, for which he was award the prestigious Norman Rowe Clinical Prize by the British Association of Oral and Maxillo-Facial Surgeons (2012). Among his interests and research, Professor Andi has also been published and has written original software on a variety of platforms which were user-friendly tools to collect data on clinical and outcomes research.

Other awards Professor Andi has been the recipient of the J.N. Kidd award from the Institute of Reconstructive Sciences (2016), a Clinical Excellence Award from St George's University Hospitals NHS Foundation Trust (2015), the Annual College Prize in Clinical Dentistry awarded by the University of London (1997), and many more in between.

Carrying out pioneering research at St George's, University of London Medical School and Cranfield University Centre for Digital Engineering, Professor Andi was appointed as a Visiting Professor in 2020. 

Professor Andi has held former roles as lead clinician of the St George’s and Royal Marsden Head & Neck Cancer MDT, regional professional advisor to the Royal College of Surgeons of England and President of The Institute of Reconstructive Sciences.

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