Clair: Mouth cancer often spotted late
5/26/2005 Washington, D.C. Dr. J. Peter St. Clair Georgetown Record on (www2.townonline.com) About 30,000 Americans are diagnosed with oral and pharyngeal cancers each year. They account for 3 percent of all cancers diagnosed. More than a quarter of these patients will die from the disease. The percentage is high because many of these diagnoses are established at a late age. Those that see a dentist on a regular basis are more likely to get an early diagnosis because it is a routine part of the exam done by both hygienists and dentists. Tobacco factors into 75 percent of all cases. The concomitant use and/or abuse of alcohol seems to have a synergistic effect. It is thought that alcohol may increase the permeability of mucosal cells to the carcinogens in tobacco. Furthermore, alcohol may be metabolized into a known carcinogen. Most patients who are diagnosed are over age 45 years of age. There is an increasing group of patients who are younger, in the 20-30 year range. The male-female ratio is about 2:1 but the gap is narrowing. It has been found that individuals who have a diet rich in certain elements such as carotenoid compounds, selenium, folic acid, and vitamins A, C and E, as found in fresh fruits and vegetables, have a decreased incidence of oral cancers. Interestingly, smokers experience a diminished capacity to absorb these nutrients from their diet. Oral cancer occurs most frequently in the tongue, accounting for about 30 percent of all oral cancers. Cancers of [...]