A sober look at the rise in mouth cancer

Mouth cancer was once hardly seen in people under 50 but, since the mid-1990s, rates of oral cancers have gone up by 28% for men in their 40s and 24% for women

Miriam Stoppard

Posted On Wednesday, August 19, 2009   


I'm worried by the news that too much booze is increasingly to blame for mouth cancer. You'd have to come from a different planet not to know that excess alcohol leads to liver damage, heart disease and stroke.

But this new finding by Cancer Research UK may mean trouble for the future as it can take many years for the effects of lifestyle changes, such as today's binge-drinking, to show up. More than 5,000 people are diagnosed with this cancer each year in the UK - and there's been a big rise among people in their 40s. Mouth cancer was once hardly seen in people under 50 but, since the mid-1990s, rates of oral cancers have gone up by 28% for men in their 40s and 24% for women.

We've known for ages that smoking and drinking are two major lifestyle risk factors for this disease - both habits together are especially damaging. That's because alcohol makes it easier for the mouth and throat to absorb the cancer-causing chemicals in tobacco.

But, while the number of people who smoke has gone down since the 1950s, alcohol consumption has doubled. Because mouth cancer has a low profile and symptoms may be pain-free, it can slip through the net with devastating effects. Late diagnosis of oral cancer can lead to disfiguring surgery, and it causes around 1,800 deaths a year. To me, this is nothing short of tragic considering that survival can be as high as 90% if it is caught early.

Here's how to improve your chances:

Look out for...

  • An ulcer or sore in your mouth
  • A red or white patch in your mouth
  • An unexplained pain in your mouth or ear
  • An unexplained lump in your neck
  • A sore or painful throat
  • A croaky voice or difficulty swallowing

See your doctor or dentist if any of these symptoms last longer than three weeks. Always keep six-monthly appointments with your dentist, even if you think your teeth are OK.

Steps to take

  • Stop smoking: It's the number one risk factor, ahead of drinking. Chewing tobacco will also increase your risk.
  • Stick to safe drinking: The more you drink, the greater your risk, regardless of the type of alcohol. Safe limits are around two to three units a day for women and three to four for men.
  • Wear lipscreen: If you're going out in the sun, slap on lip balm that contains at least SPF 15 to guard against lip cancer caused by sun exposure.
  • Eat extra fruit and veg: You reduce the risk with each extra serving of fruit and veg you eat each day.
  • Know your risk: Watch out if you have a close relative who's had the disease, if you've had mouth cancer before or you've had squamous cell skin cancer, cervical cancer or anal cancers. Risk is also linked to particular strains of HPV (the human papillomavirus), which can be passed on by oral sex. This virus is very common but fortunately most people who get it won't get cancer.

Source: Daily Mirror

Pic: Julia Freeman-Woolpert


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