Public speaker back to work after tongue cancer surgery

Source: www.komonews.com Author: Molly Shen Local doctors are seeing an alarming rise in the number of tongue cancer cases in people who never smoked or chewed tobacco. The Human Papillomavirus is a possible cause, but sometimes there's no viral or obvious reason. Robert Hasse was diagnosed with tongue cancer in 2013. He writes a blog called "Not What You Had Planned." And he knows all about life going off schedule. A successful public speaker, he was sidelined by the news he had cancer and to save his life, he would lose half of his tongue. "I couldn't fathom not being able to speak," Haase said. "And that was a possibility if the nerve was cut incorrectly or if the doctor didn't do it right, I wouldn't ever be able to speak again." Doctors were able to rebuild Haase's tongue with tissue from his forearm. He was determined to speak, documenting his first attempt, two weeks later, two months later and most recently, 18 months after surgery. Dr. Stephen Bayles has done several hundred tongue reconstructive surgeries at Virginia Mason Medical Center. He says while patients lose most of the ability to taste food, he can restore movement, blood flow and some sensations like the ability to distinguish heat and cold. He said Haase's attitude was inspiring. "He came straight out of the operation with a thumbs up attitude and was already communicating to people how well he was doing and that he was already on his road to recovery," Dr. [...]

Study: Oropharyngeal cancer on the rise in young adults

Source: www.sciencecodex.com Author: staff A new study reveals an alarming increase in oropharyngeal cancers among young adults. While the exact cause for this phenomenon is unknown, the human papillomavirus (HPV) may be to blame. According to researchers from Henry Ford Hospital in Detroit there was an overall 60 percent increase from 1973 and 2009 in cancers of the base of tongue, tonsils, soft palate and pharynx in people younger than age 45. Among Caucasians, there was a 113 percent increase, while among African-Americans the rate of these cancers declined by 52 percent during that period of time. But compared to Caucasians and other races, the five-year survival rate remains worse for African Americans. The study is published online ahead of print in Otolaryngology-Head and Neck Surgery, the official journal of American Academy of Otolaryngology-Head and Neck Surgery. "The growing incidence in oropharyngeal cancer has been largely attributed to the sexual revolution of the 1960s and 1970s, which led to an increased transmission of high-risk HPV," says study lead author Farzan Siddiqui, M.D., Ph.D., director of the Head & Neck Radiation Therapy Program in the Department of Radiation Oncology at Henry Ford Hospital. "We were interested in looking at people born during that time period and incidence of oropharyngeal cancer. Not only were we surprised to find a substantial increase in young adults with cancer of the tonsils and base of tongue, but also a wide deviation among Caucasians and African Americans with this cancer." The American Cancer Society estimates about [...]

Global trends in oral cancers

Source: www.dailyrx.com Author: staff It used to be that smoking and drinking alcohol were the biggest risk factors for cancers that develop in the mouth and throat. Those trends may be changing, according to a new study. That new study uncovered that cancers that appear in the throat right behind the mouth have increased, primarily in developed countries. The trend has been most prevalent in men under the age of 60, the researchers found. These increases, the authors suggested, may be linked to human papillomavirus (HPV), a sexually transmitted virus that’s associated with a number of cancers, including oral cancers. Anil K. Chaturvedi, PhD, of the National Cancer Institute, led this study that examined incidence trends for oropharyngeal (part of the throat behind the mouth) and oral cavity (mouth) cancers in 23 countries across four continents. The researchers examined the countries’ cancer registry data for the years 1983 to 2002. In the study’s introduction, the authors noted that oral cavity cancers (OCC) have declined recently in most parts of the world due to the declines in tobacco use. At the same time, oropharyngeal cancers (OPC) have risen over the past 20 years in some countries. OPC rates were compared to those of OCC and lung cancers to distinguish the potential role of HPV from smoking-related cancer trends. The researchers tracked specific OPC sites, including base of the tongue, tonsils, oropharynx and pharynx (throat). OCC sites included the tongue, gums, floor of the mouth, palate (roof of the mouth) and other [...]

2013-11-19T14:42:18-07:00November, 2013|Oral Cancer News|

Dental hygienist, consultant detects own oral cancer

Source: www.dentistryiq.com Author: Shelli Castor Dental hygienist and practice-management consultant Barbara Boland discovered at the young age of 41 that she had oral cancer. Boland is now a 10-year cancer survivor, and she hopes her story and experiences will serve to start a continuing dialogue about oral cancer, especially among dental professionals. Boland graduated from Temple University in Pennsylvania in 1982 and has been working as a practice-management consultant for 24 years. In December 2002, she discovered a peculiar white spot on her tongue that she knew she hadn’t noticed before. She kept an eye on the spot for a month, and because it was changing, she showed her tongue to a head and neck surgeon. The surgeon responded that it couldn’t be cancer for various reasons: she didn’t smoke or drink, she was female, and she was “too young” — there was no way the spot could be cancer. While such an almost flippant response to a patient’s concerns seems wildly out of place and unexpected today, Boland notes that 10 years ago, dental and medical professionals were not well-educated on the signs, symptoms, and risk factors of oral cancer. For dental and medical professionals 10 years ago, the most common risk factors included tobacco and alcohol use, age, and the fact that males had a higher incidence of oral cancer than females. Boland fit none of those categories, and so her concerns were not seen as pressing. Still, the spot on her tongue “didn’t feel right” to her. [...]

No ref’s return as special as Corrente’s

Source: sportsillustrated.cnn.com Author: Peter King The voice of Tony Corrente was ebullient, as ebullient as a man who stared down his own mortality within the past few months and lived to tell about it. "How are you doing?'' I asked Corrente an hour after he refereed his first game -- Niners-Jets at the Meadowlands Sunday -- since his tongue and throat cancer eradication of last winter. "Wonderful, fantastic, perfect!'' he practically shouted into the phone. "Never been better, and I mean that. I am elated. I have a new lease on life." Corrente checked into the M.D. Anderson Cancer Center in Houston the day after his final game of the 2011 season -- the Detroit-New Orleans Wild Card game -- for treatment of a thumb-sized malignant tumor at the base of his tongue, where it connects with the back of his throat. He had 13 chemotherapy treatments and 33 zaps of radiation in a short period, to attack the tumor aggressively. Doctors told him if the tumor had been discovered as little as three weeks later the news would have been very dark for him. But they began treatment in time, and in the spring, they found that the tumor was under control. He's had two thorough checkups since, and both have given him a clean bill of health. This is why, as the National Anthem played Sunday in New Jersey, Corrente said a long prayer of thanks for his doctors and for those who supported him during the ordeal. [...]

Facing the facts: HPV-associated head and neck cancers get a second look

Source: www.curetoday.com Author: Charlotte Huff Kevin Pruyne knew he didn’t fit the stereotype of a hard drinker or heavy smoker who one day develops an oral cancer. The 52-year-old mechanic had been working a three-week stint in a remote section of northern Alaska, repairing trucks on an oil field, when he noticed a hard lump beneath his jaw while shaving. For nearly three months, as Pruyne was prescribed antibiotics for a possible infection and then later shuttled between physician specialists, he kept hearing the same thing: the lump could not be cancer. Pruyne only occasionally consumed alcohol and had never smoked. His wife, Kathy, began researching her husband’s symptoms, which included repetitive throat clearing, a nagging sensation that something was lodged in his throat and ringing in his ears. And the lump, which looked like the top half of an egg, felt solid to the touch. This wasn’t some inflamed lymph node from a lingering head cold, Kathy Pruyne says. “He had every symptom [of cancer], but nobody would listen to me.” Pruyne received a diagnosis of stage 4 oral cancer, which started with a tumor at the base of his tongue. He had already begun chemotherapy when he learned that researchers had discovered an association between the human papillomavirus (HPV) and increasing rates of oropharyngeal cancers. He asked that his tissue be tested; the results came back positive. Pruyne says he wanted to know whether his cancer was caused by HPV because “the prognosis is considerably better with HPV-positive cancer.” [...]

CDC report releases updated information on HPV-associated cancers

Source: www.dentistryiq.com Author: staff The Centers for Disease Control and Prevention released on April 24, 2012, an updated statistical count on the prevalence of HPV-associated cancers in the United States. Oropharyngeal cancers, primarily the base of the tongue and tonsils, were the second most common after cervical cancer. Published in the April 20 edition of CDC’s Morbidity and Mortality Weekly Report (MMWR), the report, titled, ”Human Papillomavirus-Associated Cancers — United States, 2004–2008,” provides updated information from an analysis of data for all 50 states and the District of Columbia from the National Program of Cancer Registries (NPCR) and the Surveillance, Epidemiology and End Results (SEER) program. An average of 33,369 HPV-associated cancers were diagnosed annually (rate = 10.8 per 100,000 population), including 11,726 cases of oropharyngeal cancers. CDC estimates that about 7,400—63%—of the cases of oropharyngeal cancer each year were attributable to HPV infection. These cancers were found three times more frequently among men. The Centers for Disease Control and Prevention released on April 24, 2012, an updated statistical count on the prevalence of HPV-associated cancers in the United States. Oropharyngeal cancers, primarily the base of the tongue and tonsils, were the second most common after cervical cancer. Published in the April 20 edition of CDC’s Morbidity and Mortality Weekly Report (MMWR), the report, titled, ”Human Papillomavirus-Associated Cancers — United States, 2004–2008,” provides updated information from an analysis of data for all 50 states and the District of Columbia from the National Program of Cancer Registries (NPCR) and the Surveillance, Epidemiology and [...]

If teeth could talk…

Source: wsj.com Author: Melinda Beck The eyes may be the window to the soul, but the mouth provides an even better view of the body as a whole. Some of the earliest signs of diabetes, cancer, pregnancy, immune disorders, hormone imbalances and drug issues show up in the gums, teeth and tongue -- sometimes long before a patient knows anything is wrong. There is also growing evidence that oral health problems, particularly gum disease, can harm a patient's general health as well, raising the risk of diabetes, heart disease, stroke, pneumonia and pregnancy complications. "We have lots of data showing a direct correlation between inflammation in the mouth and inflammation in the body," said Anthony Iacopino, director of the International Centre for Oral-Systemic Health, which opened at the University of Manitoba Faculty of Dentistry in Canada in 2008. Recent studies also show that treating gum disease improves circulation, reduces inflammation and can even reduce the need for insulin in people with diabetes. Such findings are fueling a push for dentists to play a greater role in patients' overall health. Some 20 million Americans -- including six percent of children and nine percent of adults -- saw a dentist but not a doctor in 2008, according to a study in the American Journal of Public Health this month. "It's an opportunity to tell a patient, 'You know, I'm concerned. I think you really need to see a primary care provider,' so you are moving in the direction of better health," said [...]

Scientific literature supports safety of essential oil mouthrinses

Source: www.dentistryiq.com Author: Christine Charles, RDH Antimicrobial mouthrinses provide anti-plaque and anti-gingivitis benefits beyond brushing and flossing alone. An antimicrobial mouthrinse where the active ingredient is the fixed combination of four essential oils (EO), thymol, menthol, eucalyptol and methyl salicylate in a hydroalcohol solution (pharmaceutical grade ethanol functions as a solvent, a vehicle for the active ingredients and as a preservative in a mouthrinse), has been proven clinically effective and safe in over 50 clinical trials, including 6-month trials with plaque reductions up to 70.0%(1) and gingivitis reductions up to 36%(1,2) compared with negative control. Sharma, et al, showed the clinically significant incremental benefit of including an EO antimicrobial mouthrinse in a daily mechanical oral regimen of brushing and flossing.(3) Mechanical oral hygiene techniques generally focus on the teeth, but teeth comprise only about 25% of the surface area of the mouth. Bacteria are also prevalent on the other 75% of the mouth’s surface area, in bacterial reservoirs on the tongue, cheek, palate and oral mucosa.(4) A mouthrinse can reach the rest of the mouth, where a toothbrush and floss cannot. EO works by killing planktonic and biofilm-associated bacteria and a broad spectrum of bacteria and yeasts associated with halitosis, gingivitis and periodontitis by: (1) disrupting bacterial cell membranes and cell walls, (2) inhibiting bacterial growth and development, (3) inhibiting glucosyltransferase (gtf) enzymes, reducing extracellular polysaccharide (EPS) formation, and (4) reducing plaque endotoxin levels.(5) The scientific literature supports the safety of EO mouthrinses,(7-9) including use in xerostomic patients,(8) and evidence [...]

2011-09-02T19:11:29-07:00September, 2011|Oral Cancer News|

With HPV-related head and neck cancers rising, focus on treatment and vaccination

Source: blogs.wsj.com/health Author: Laura Landro A form of head and neck cancer associated with the sexually transmitted human papillomavirus is on the rise, especially in men, the WSJ reports. Fast-rising rates of oropharyngeal cancer — tumors in the tonsil and back-of-the-tongue area — have been linked to changes in sexual behavior that include the increased practice of oral sex and a greater number of sexual partners. But HPV-positive cancer has also been reported in individuals who report few or no sexual partners. It may also be possible for the virus to be transmitted to an infant via an infected mother’s birth canal. An HPV vaccine is routinely recommended for girls because the virus can cause cervical cancer. The rise in HPV-positive head and neck cancers is leading to a new focus both on treatment of the disease, and whether recommending routine vaccination for boys could prevent oral infections and cancers. (A CDC advisory panel said in 2009 that it was fine for boys to get the vaccine, but recommended against routine administration.) Eric Genden, chief of head and neck oncology at Mt. Sinai Medical Center, tells the Health Blog that when treated appropriately, patients with HPV-positive cancers have an 85% to 90% disease-free survival rate over five years. By contrast, patients with HPV-negative head and neck cancers, which are often associated with smoking and drinking, typically have more advanced disease when the cancer is detected and face a five-year survival rate of only 25% to 40%, Genden says. HPV-induced head [...]

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