For the war against oral cancer, what’s in your arsenal?

Source: www.dentistryiq.com Author: Dennis M. Abbott, DDS The face of oral cancer has changed: No longer is oral cancer a disease isolated to men over 60 years of age with a long history of smoking and alcohol consumption. Today, the demographic for the disease includes younger people of both sexes with no history of deleterious social habits who are otherwise healthy and active. It spans all socioeconomic, racial, religious, and societal lines. In other words, oral and oropharyngeal cancer is an equal opportunity killer. Today, as you read this article, 24 people in the US will lose their battles with oral cancer. That is one person for each hour of the day, every day of the year. Each of those lost is someone’s sister, a father’s son, a small child’s mommy, or maybe even a person you hold dear to your heart. The truth is, oral and oropharyngeal cancer has several faces . . . and each of those faces is a human being, just like you and me. So how can we, as dental professionals, be instrumental in the war against oral and head and neck cancer? Views of the oropharynx, the base of the tongue, and the epiglottis, taken with the Iris HD USB 3.0 intraoral camera using different points of focus. Photos courtesy of the author. The answer, as with most other cancers, lies in early detection. When oral and oropharyngeal cancer is detected early, the five-year survival rate can be as high as 80% [...]

Tufts dental school to add oral medicine residency program

Source: www.drbicuspid.com Author: DrBicuspid Staff The Tufts University School of Dental Medicine will begin enrolling students in its new Advanced Education Program in Oral Medicine in July 2016, according to a Tufts Daily article. The program is a two-year postgraduate certificate with the option for a three-year master's degree track, according to the university. Teaching students how to treat oral symptoms of various diseases and conditions is the aim of the program. The program teaches dentists to be responsible for the early detection and diagnosis of oral cancer and other malignancies that manifest in the oral cavity. Dentists will be trained to treat the oral manifestations of infectious diseases, including HIV; autoimmune and immune-related diseases such as lupus; and metabolic disorders such as diabetes. Bhavik Desai, DMD, PhD, an assistant professor of oral medicine and temporomandibular joint disorder at the Virginia Commonwealth School of Dentistry, will begin as the program director on July 1. Oral medicine is not yet recognized as a specialty by the ADA; the American Academy of Oral Medicine (AAOM) oversees the discipline and is responsible for certifying dentists in the field, according to Interim Program Director Arwa Farag. The program received accreditation from the Commission on Dental Accreditation (CODA) in August 2014. The AAOM has encouraged the expansion of training programs, because there are only six other dental schools in the U.S. that offer training in oral medicine. Only 3% of hospitals with cancer programs have oral medicine specialists, and patients are often directed to other [...]

2015-02-25T08:59:31-07:00February, 2015|Oral Cancer News|

Early detection of head and neck cancer: development of a novel screening tool using multiplexed immunobead-based biomarker profiling

Source: http://cancerres.aacrjournals.org Authors: Faina Linkov, Alex Lisovich, Zoya Yurkovetsky, Adele Marrangoni, Lyudmila Velikokhatnaya, Brian Nolen, Matthew Winans, William Bigbee, Jill Siegfried, Anna Lokshin, and Robert Ferris Abstract: Squamous cell carcinoma of the head and neck cancer (SCCHN) is an aggressive disease which has been linked to altered immune, inflammatory, and angiogenesis responses. A better understanding of these aberrant responses might improve early detection and prognosis of SCCHN and provide novel therapeutic targets. Previous studies examined the role of multiplexed serum biomarkers in small cohorts or SCCHN sera. We hypothesized that an expanded panel comprised of multiple cytokines, chemokines, growth factors, and other tumor markers, which individually may show some promising correlation with disease status, might provide higher diagnostic power if used in combination. Thus, we evaluated a novel multi-analyte LabMAP profiling technology that allows simultaneous measurement of multiple serum biomarkers. Concentrations of 60 cytokines, growth factors, and tumor antigens were measured in the sera of 116 SCCHN patients prior to treatment (active disease group), 103 patients who were successfully treated (no evidence of disease, NED, group), and 117 smoker controls without evidence of cancer. The multi-marker panel offering the highest diagnostic power was comprised of 25 biomarkers, including EGF, EGFR, IL-8, tPAI-1, AFP, MMP-2, MMP-3, IFN-α, IFN-γ, IP-10, RANTES, MIP-1α, IL-7, IL-17, IL-1Rα, IL-2R, G-CSF, mesothelin, IGFBP-1, E-selectin, cytokeratin (CK)19, V-CAM, and CA-125. Statistical analysis using an ADE algorithm resulted in a sensitivity of 84.5%, specificity of 98%, and 92% of patients in the active disease group correctly classified from a [...]

2014-10-10T11:05:56-07:00October, 2014|Oral Cancer News|

Former LA Laker Michael Cooper diagnosed with tongue cancer

Source: insidesocal.comAuthor: Mark Medina  Former Laker Michael Cooper will take a leave of absence as the head coach of the WNBA’s Atlanta Dream because of early stage tongue cancer. Cooper plans to have a surgical procedure this week at the Winship Cancer Institute of Emory University in Atlanta and is expected to recover in two weeks. Assistant coach Karleen Thompson will assume head coaching duties during Cooper’s absence. “The doctors and staff at Emory have been tremendous, and I know I’m in good hands,” Cooper said in a statement. “I’m fortunate that my condition was diagnosed early, and this episode illustrates the importance of screening and early detection. I know the team will be in good hands with Coach Thompson at the helm during my absence, and I look forward to returning to the court soon.” Cooper has guided Atlanta to an Eastern Conference best 15-6 record in his first season. He also coached the East to a 125-124 overtime win at the WNBA All-Star game on Saturday. Cooper is best known as a defensive specialist with the Showtime Lakers (1978-90) where he won five NBA championships. He also coached the Los Angeles Sparks to two WNBA championships (2001, 2002). Cooper left his second stint with the Sparks to coach the USC’s women’s basketball team. But he resigned in March after finishing 11-20, his first losing record in four seasons. *This news story was resourced by the Oral Cancer Foundation, and vetted for appropriateness and accuracy.   

2014-07-22T09:44:16-07:00July, 2014|Oral Cancer News|

Global burden of cancer is on the rise

Source: Medical News TodayPublished: Catherine Paddock, PHDBy: February 4, 2014  A new report from the World Health Organization's cancer agency reveals that cancer rates are growing at an "alarming pace" around the world and urges stronger efforts on prevention measures to curb the disease. The World Cancer Report 2014, from the World Health Organization's (WHO's) International Agency for Research on Cancer (IARC), estimates that the global burden of cancer will rise from an estimated 14 million new cases per year in 2012 to 22 million within the next 20 years. Due to growing and aging populations, developing countries are disproportionately affected by the growing numbers of cancers. Over 60% of the global burden is in Africa, Asia and Central and South America, where 70% of cancer deaths occur, and where lack of early detection and treatment is a growing problem. There is an urgent need to put in place measures to prevent the disease, says the report, adding that half of all cancers could be avoided if we use what we already know more effectively. Dr. Christopher Wild, report co-editor and director of the IARC, says: "Despite exciting advances, this Report shows that we cannot treat our way out of the cancer problem. More commitment to prevention and early detection is desperately needed in order to complement improved treatments and address the alarming rise in cancer burden globally." Leading cause of deaths worldwide, costs spiralling out of control Cancer is a leading cause of death worldwide - in 2012 the [...]

2014-02-06T14:44:36-07:00February, 2014|Oral Cancer News|

What the ‘rinse-and-spit’ oral cancer test could mean for dental professionals and their patients

Source: www.dentistryiq.com Author: Vicki Cheeseman, Associate Editor A new oral cancer “rinse-and-spit” test for the early detection of tumors could mean great things for dental professionals and their patients when the test becomes available for use in dental practices nationwide possibly as early as late 2014 or into 2015. The test, developed at the University of Miami Miller School of Medicine and exclusively licensed to Vigilant Biosciences, Inc., will be available as a low-cost, point-of-care screening test for the early detection of oral cancer, and is envisioned as a kit with a special oral rinse and test strip. The test strip detects proteins that are markers of oral cancer and are captured by the rinse. The markers may be present before a lesion is easily visible. Early detection tests are critical because the majority of patients present in late stage when cure rates reach only 40%. I asked Dr. Franzmann to explain how the test strip works. “The beauty of the test strip approach is that it is so simple for the patient and health-care professional to use. The technology behind the test strips has been around for many years and is used for many medical applications. The key is to know what to test for. Through our research, we discovered certain proteins, or markers, are present in the saliva in the early stages of squamous cell carcinoma, the most common head and neck cancer.” How early can tumors be detected with the test strip? Dr. Franzmann said, “The tumors [...]

If You Fail to Look

Source: The American Academy of Oral Systemic Health Newsletter Author: Cris Duval Detecting oral cancer in its earliest stages saves lives, eases suffering, reduces morbidity, and ameliorates post-surgery recovery. Remember when you took driver’s education in high school?  I do! When I grew up, driver’s education students in Washington State were required to watch “shock” highway-safety films. These videos, depicting the aftermath of drivers’ actions, showed actual accident scenes, complete with audio recordings of victims’ screams and color close-ups of mangled bodies.  My bet is that, if you have ever watched one of these videos, you have never forgotten it. For me, when I saw these videos, I thought about my family and my friends.  I know that I have a family that loves and cares about me, and thus, I owe it to them to avoid doing something stupid behind-the-wheel.  I never want one of my loved ones to have to go through the pain of seeing me hurt. This means to me that my driver’s license is more than just a “key” to get behind the wheel.  Rather, as a website for traffic safety in Texas states, a driver’s license signifies that the driver possesses the “essential knowledge, skills, and experience to perform reduced risk practices in [a] total traffic environment.”  In other words, the driver is accountable to himself and other drivers. My response to these driver’s education videos is akin to my reaction to videos that I watched at the Pacific Northwest Head, Neck & Thyroid Cancer [...]

2012-06-01T09:35:08-07:00June, 2012|Oral Cancer News|

Ireland: mouth cancer awareness day yields results

Source: http://www.dentistryiq.com/ Author: staff Dentists are emphasizing the importance of early detection with mouth cancer, after 12 cases of the potentially deadly cancer were discovered on Mouth Cancer Awareness Day and one of these was discovered in Waterford. The Irish Dental Association estimates that 10,000 people availed of free mouth cancer examinations carried out by participating dentists countrywide on September 21 of last year. As well as the confirmed cases, 286 people were advised to attend their GP for other related problems. Mouth Cancer Awareness Day was set up by a group of mouth, head and neck cancer survivors in September 2010. It is now a joint initiative by the Irish Dental Association, Irish Cancer Society, Dublin Dental University Hospital, Cork Dental University Hospital, the Dental Health Foundation and Mouth, Head and Neck Cancer Awareness Ireland. The President of the IDA, Conor McAlister said the fact twelve cancers were discovered in one day showed the importance of early detection and the need for everyone to have a regular examination. He said, "Three hundred cases of mouth cancer are detected here each year with 100 deaths and this type of cancer actually kills more Irish people than cervical cancer or skin melanoma. "According to the National Cancer Register in Ireland, roughly 50% of all mouth cancers are diagnosed at an advanced stage. Hopefully the fact these 12 cases have been caught at an earlier stage means the impact on quality of life will be reduced." He added, "This year we saw [...]

Oral temperature changes in head and neck cancer patients predicts side effect severity

Source: American Society for Radiation Oncology The abstract, "Pilot study of functional infrared imaging for early  detection of mucositis in locally advanced head and neck cancer  reated with chemoradiotherapy," will be presented at the Head and  neck Society Meeting in Arizona today. This is a synopsis of that  presentation. Slight temperature increases of the oral mucus membranes early in a head and neck cancer patient's chemotherapy and radiation therapy (chemoradiotherapy) treatment is a predictor of severe mucositis later in treatment, according to a study presented at the Multidisciplinary Head and Neck Cancer Symposium, sponsored by AHNS, ASCO, ASTRO and SNM. Mucositis, or mouth sores, is a common side effect of chemoradiotherapy for head and neck cancer that is painful and can be very severe. Physicians cannot predict which patients will have mild mucositis or severe mucositis that would require narcotic pain  medication, nutritional support and/or feeding tubes. Researchers in this study hypothesized that using sensitive thermal imaging technology to measure temperature changes of less than  one-tenth of a degree early in treatment could predict the severity of mucositis later in treatment. This knowledge could allow for early  intervention and potential changes in therapy using a technology that is simple, harmless and non-invasive. Patients receiving chemoradiotherapy underwent baseline and weekly thermal imaging of their oral mucus membranes. All patients displayed an increase in temperature and severe mucositis was found in 53 percent of patients. "If we could predict which patients were going to suffer the greatest toxicity, we could proactively make changes to [...]

2012-01-26T15:32:36-07:00January, 2012|Oral Cancer News|

Johnson & Johnson Sued for $70 Million Over Oral Cancer Test Detection

Source: Dr.Bicuspid.com July 8, 2011 -- Oral Cancer Prevention International (OCPI), makers of the Oral CDx brush test for oral cancer detection, is suing Johnson & Johnson (J&J) over a terminated distribution contract with OraPharma. OraPharma was previously a subsidiary of J&J until it was acquired last December by Water Street Healthcare Partners, a private equity firm in Chicago. J&J, which among other things sells Listerine mouthwash, was worried that a 2008 study linking alcohol-containing mouthwashes with oral cancer would negatively affect sales of Listerine and allegedly induced OraPharma to breach the sales agreement, according to OCPI. The lawsuit, filed July 6 in U.S. District Court, District of New Jersey, claims that J&J "maliciously and fraudulently" interfered with a contract between OCPI and OraPharma that gave OraPharma exclusive rights to sell the test to U.S. dentists. J&J's interference caused OraPharma "to suppress sales of and withhold from the public a proven lifesaving oral cancer prevention product in order to protect sales of its mouthwash, Listerine, which has been linked to oral cancer," according to the complaint. After OCPI signed the contract in February 2010, J&J did not want to "lend credence to the link between Listerine and oral cancer" by selling both its mouthwash and OralCDx, the complaint states. As of press time, J&J did not return calls for comment by DrBicuspid.com. Sales of Listerine bring in more than $1 billion per year, the suit claims. OralCDx is a "quick, painless, and inexpensive test that can prevent oral cancer by [...]

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