Oral Cancer Treatment In India

Oral cancer is a serious medical condition that originates in the cells of the mouth. It can manifest in various subsites, such as the lips, jaw, tongue, hard palate, buccal mucosa, and retromolar trigone. In this article, we’ll delve into the symptoms, risk factors, treatment options, and prevention strategies for oral cancer.

Symptoms of Oral Cancer

Ulcers in the lips, gums, cheek, or other areas inside the mouth that do not heal and may bleed.
Flat white and red patches, which could be pre-cancerous conditions like leucoplakia and erythroplakia.
Pain is not a common symptom unless cancer invades nearby structures, but it can sometimes be felt in the ear.
Difficulty in chewing, swallowing, or speaking.

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Who is at Risk?

Oral cancer primarily affects

Men, who face twice the risk of developing oral cancer as women, especially those over 50.
People who smoke and consume alcohol regularly.
Users of chewing tobacco and betel nut, as these substances increase the risk.
Constant irritation from ill-fitting dentures and sharp teeth can also lead to oral cancer.
Infection with the human papillomavirus (HPV), which is often transmitted through orogenital contact, can increase the risk.

Treatment for Oral Cancer

The treatment for oral cancer typically involves a combination of approaches:
Surgery to remove the cancerous growth, with a focus on obtaining clear margins.
Radiation therapy to target and destroy any remaining cancer cells.
Chemotherapy, which uses drugs to further combat cancer cells.

Prevention of Oral Cancer:

Preventing oral cancer involves several lifestyle and healthcare choices:

Quit smoking and avoid all tobacco products, while consuming alcohol in moderation and avoiding binge drinking.
Maintain a balanced diet rich in nutrients and antioxidants.
Limit sun exposure, especially on the lower lip, to reduce the risk of lip cancer.
Ensure well-fitting dentures and address any issues with sharp teeth to prevent irritation.
Regular dental check-ups and oral hygiene are essential.

Surgical Approaches for Oral Cancer:

Surgery is a common treatment for oral cancer, with a focus on proper reconstruction to preserve speech and swallowing functions. Reconstruction options include:

Skin grafts.
Local flaps for intermediate reconstruction.
Advanced reconstruction with free flaps, using tissue from the forearm or leg bone with its blood supply.
The choice of reconstruction depends on factors like age and vascular health.

Neck Dissection in Oral Cancer:

The neck is the primary site of oral cancer spread. Neck dissection, a surgical procedure, is often necessary to remove affected lymph nodes along with oral cancer. This procedure helps determine the cancer’s stage and the need for additional treatment such as radiation and chemotherapy.

Radiation as an Alternative

High-dose radiation therapy can be a viable alternative to surgery for treating oral cancer. In some cases, both surgery and radiation are necessary to ensure comprehensive treatment and a higher chance of successful outcomes.

Conclusion:

Oral cancer is a serious medical condition that requires prompt diagnosis and treatment. Understanding its symptoms, risk factors, treatment options, and prevention strategies can significantly improve the chances of successful recovery. Regular check-ups and a healthy lifestyle are crucial steps in preventing oral cancer and promoting overall well-being.

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Dr. Ankur Bahl

Speciality: Medical Oncologist & Hematologist
Experience: 15 years of experience
Hospital: Fortis Memorial Research Institute

About Doctor:

Dr. Ankur Bahl is a renowned Medical Oncologist with experience of over 15 years.
He offers treatment for Multiple Myeloma, Lymphoma, Breast and Lung Cancer, Gastrointestinal tumors, Gynaecological Tumors, Head, Neck and Brain Tumors and Bone Marrow Transplantation.
He was the recipient of Dr. Rehan Gold Medal for being the best Outgoing Post Graduate student of Internal Medicine in Delhi University.

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He has the membership of several prestigious associations like: American Society of Clinical Oncology (ASCO), American Association of Cancer Research (AACR), European Society of Medical Oncology (ESMO), Indian Society of Medical and Paediatric Oncology (ISMPO).
He is engaged in research work and has published several papers in National and International Journals.

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Dr. Vedant Kabra

Specialist: Surgical Oncologist
Experience: 23+ years of experience
Hospital: Fortis Memorial Research Institute

About Doctor:

Dr Vedant Kabra is the Head of the Department of Surgical Oncology at Fortis Memorial Research Institute (FMRI)
He has a rich experience of 23+ years in the field of oncologist.
Dr Vedant Kabra has successfully performed 12,000 cancer surgeries and various complex oncological procedures including robotic surgeries.

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Having special interests in Breast, Gastro-intestinal and Gynecologic Oncology, Robotic Surgery, and other cancers.
Got special training in Robotic Surgery – Intuitive Surgical Sunnyvale.
Received many awards and Clinical fellowship in surgical oncology at National Cancer Centre,

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Dr. Vinod Raina

Specialist: Medical Oncologist
Experience: 40+ years of experience
Hospital: Fortis Memorial Research Institute

About Doctor:

Vinod Raina is One of India’s foremost Medical Oncologists at Fortis Memorial Research Institute, Gurgaon.
Having a vast 40+ years of experience in this field
He performed the first high dose chemotherapy and peripheral blood stem cell transplant in India in 1994.

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Till now personally has performed approximately 250 transplants including approximately 70 allotransplants for various cancers.
Since 1996 and trained about 60 DM students, these students are holding consultant positions at important places in India and abroad.
Received research funding from Oxford University, University of London, NCI-USA, DBT, ICMR and others during tenure at AIIMS.
Approximately 200 publications in Indian and International journals like Lancet, Journal of Clinical Oncology, Annals of Oncology B.J.

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Dr. Niranjan Naik

Specialist : Surgical Oncologist
Experience : 21 years of experience
Hospital : Fortis Memorial Research Institute

About Doctor:

Well-known and recognized Onco-Surgeon of India
Performed more than 12000 cancer surgeries including Breast, Thoracic, Gastro-Intestinal & Hepatobiliary Surgeries
Trained in Laparoscopic Cancer Surgeries

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Expertise in Breast, Thoracic (Lung & Oesophagus), Gastro-Intestinal, Colo-rectal & Hepatobiliary Surgeries, Bone and Soft Tissue Cancer Surgeries and Laparoscopic (Minimally Invasive) Cancer Surgeries
Member of various renowned organizations such as Delhi Medical Association (DMA) and Indian Medical Association (IMA)

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Dr. Nitesh Rohatgi

Specialist : Medical Oncologist
Experience : 21 years of experience
Hospital : Fortis Memorial Research Institute

About Doctor:

Dr Nitesh Rohatgi is a Medical Oncologist with more than 20 years of expertise.
Services provided by him include Cancer Treatment, Melanoma Treatment, Cancer Treatment, Cancer Surgery, Lung Cancer Treatment, Hormone Therapy For Breast Cancer, Thyroidectomy, Oral Cancer Treatment, and Chemotherapy.
He earned his MBBS in 1998 from University of Delhi & DNB-Medical Oncology in 2000 from University of Delhi.

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He is a Royal Society of Medicine fellow with a long list of publications to his credit.
He was the head of the Breast Medical Oncology team at the Mid-Yorkshire NHS Trust, which is linked with Leeds Teaching Hospitals, where he had previously trained, with people like Prof. Peter Selby, a world-renowned expert in psycho-oncology and renal cell cancer.
He is registered with 5989 Delhi Medical Council, 2000.

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Dr. Mukesh Patekar

Specialist: Medical Oncologist
Experience: 9+ years of experience
Hospital: Fortis Memorial Research Institute

About Doctor:

Dr. Mukesh Patekar is a medical oncologist with 9+ Experience.
Well versed with solid tissue malignancies, haematological malignancies, stem cell transplant as well as paediatric malignancies.
His expertise lies in chemotherapy, hormonal therapy, targeted therapy, immunotherapy and palliative care.

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Under his credit, there are various national and international publications.
Dr. Mukesh Patekar is a member of the American Society of Medical Oncology (ASCO) and the European Society of Medical Oncology (ESMO).

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Dr. Suman S Karanth

Specialist: Medical Oncologist
Experience: 8+ years of experience
Hospital: Fortis Memorial Research Institute

About Doctor:

Dr. Suman S Karanth is a medical oncologist with 8+ experience.
Her expertise lies in Solid malignancies, Lymphoma, Dendritic Cell therapy, and Immunotherapy, including the APECEDEN vaccine which is the only Dendritic cell therapy approved in India.

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Dr. Suman S Karanth is a member of the American Society of Clinical Oncology [ASCO] and the European Society of Medical Oncology [ESMO].
Got first place in the Oncology quiz held at 9th conference of SAARC Federation of Oncology in 2014.
Received award for Best Paper Presentation Titled Metabolic Syndrome and for Total Lymphocyte Count (TLC ) As A Surrogate Marker For Absolute Cd4+ Count In Hiv – Infected Persons in conferences.

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Dr. Sushil Kumar

Speciality: Surgical Oncologist
Experience: 28+ Years of Experience
Hospital: Fortis Memorial Research Institute

About Doctor:

He is a renowned Surgical Oncologist and Robotic Onco Surgeon, presently working as senior consultant in Department of Surgical Oncology at Fortis Memorial Research Institute (FMRI) Gurugram.
He is trained in Surgical Oncology from Dharamshila Cancer Hospital, New Delhi and Robotic Surgery training from Manipal Hospital, Bengaluru; Florida Hospital, USA; Yonsei university, Seoul (South Korea).
He has successfully performed more than 4000 complex onco-surgical operations including open, laparoscopic and robotic procedures.

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He has expertise in entire range of breast surgeries including breast conserving surgery, breast oncoplastic surgery.
He is trained in robotic surgeries but has special interest in Trans Oral Robotic Surgery (TORS), Robotic Colorectal and Robotic Thoracic surgeries.
The Doctor has published numerous papers and research articles in journals of national and international repute.
He has presented many award-winning papers in national and international conferences.

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Dr. Alok T

Speciality: Surgical Oncologist
Experience: 13+ Years of Experience
Hospital: Fortis Memorial Research Institute

About Doctor:

He is a well-known Surgical Oncologist with 10 years of experience.
His vast areas of expertise in surgery include head & neck cancer, breast cancer, gynecological, oesophageal and thoracic malignancies.
The doctor had worked in different parts of the country, he has holistic training in surgical oncology.

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His vast areas of expertise in surgery include head & neck cancer, breast cancer, gynecological, oesophageal and thoracic malignancies..
His special interest includes areas such as hepatobiliary pancreatic malignancies with extensive work in Gallbladder Cancer.
Dr. Alok has multiple publications in Peer-reviewed National & International Journals.

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Providing a doctor’s opinion and proper quotation
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Fortis Memorial Research Institute (FMRI)

Fortis Memorial Research Institute was established in 2001.
It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology. Read More

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