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Floor Mouth Cancer

Overview

Cancer of the floor of the mouth is a type of cancer that develops as a growth under the tongue. This growth often begins in the thin, flat cells lining the inside of the mouth, known as squamous cells. When cancer starts in these cells, it's called squamous cell carcinoma. This cancer can cause noticeable changes in the appearance and texture of the tissue under the tongue. These changes might include a noticeable bump or a sore that doesn't go away.

Treatment options for floor of the mouth cancer typically involve a combination of methods. Surgery, radiation therapy, and chemotherapy are often used to eliminate the cancer and prevent its spread.

Symptoms

The floor of the mouth is the bottom part of your mouth. Cancer can develop here, and recognizing the signs is important. If you notice any of these problems, it's crucial to see a doctor:

  • Mouth pain: This could be a dull ache or sharp pain. Any persistent pain in your mouth deserves a check-up.

  • Mouth sores that won't heal: Small sores in your mouth often heal quickly. If a sore lingers for more than a few weeks, it's a reason to see a doctor. It might be something simple, but it's always best to be sure.

  • Trouble moving your tongue: If you find it harder than usual to move your tongue or feel a stiffness, that's a sign to seek medical attention.

  • Loose teeth: Teeth can loosen for various reasons, but if you notice teeth coming loose unexpectedly, it could be a sign of something more serious.

  • Pain when swallowing: Discomfort or pain when you swallow can be caused by many things, but it's worth mentioning to a healthcare professional.

  • Unexplained weight loss: If you're losing weight without trying, it could be a sign of a health issue, including cancer.

  • Ear pain: Pain in your ear can sometimes be linked to issues in the mouth or throat area. This should be checked by a doctor.

  • Swollen neck: A lump or swelling in your neck, particularly if it's painful, should be evaluated by a doctor.

  • White patches in your mouth that won't go away: These patches, medically known as leukoplakia, can sometimes be a sign of pre-cancerous changes. It's important to get them checked.

If you have any of these symptoms, or anything else that concerns you about your mouth or throat, make an appointment with a doctor or other healthcare provider right away. Early detection is key to successful treatment.

When to see a doctor

If you're experiencing any health concerns or symptoms that are causing you worry, it's important to schedule a visit with your doctor or another healthcare provider. Don't hesitate to reach out for help. This could include a family doctor, a specialist, or a nurse practitioner. Talking to a healthcare professional can help you understand what's going on and get appropriate treatment or advice.

Causes

Mouth floor cancer happens when the cells under your tongue have changes in their genetic instructions. Think of DNA as a cell's instruction manual. Healthy cells have instructions to grow and divide at a controlled pace, and also to die at a specific time. But in cancer cells, the DNA instructions are messed up. These altered instructions tell the cancer cells to make lots of new cells very quickly. Unlike healthy cells, cancer cells don't stop growing and multiplying, even when they should. This overgrowth of cells can form a lump, called a tumor. The tumor can spread into and damage surrounding healthy tissue. Sometimes, cancer cells can break off and travel to other parts of the body, a process called metastasis. This means the cancer has spread.

Risk factors

Floor of the mouth cancer risk is often linked to several factors.

Tobacco Use: Any kind of tobacco use significantly raises the risk. This includes cigarettes, cigars, pipes, chewing tobacco, and snuff. The more you use tobacco, the greater the risk.

Alcohol Consumption: Regular and heavy alcohol use increases the risk of floor of the mouth cancer. Combining alcohol with tobacco use creates an even higher risk. Drinking a lot of alcohol over a long period of time can damage the cells in the mouth and throat, making them more susceptible to cancer.

HPV Infection: Human papillomavirus (HPV) is a common virus spread through sexual contact. For many people, HPV causes no problems and goes away on its own. However, in some cases, HPV can cause changes in cells that can lead to various types of cancer, including floor of the mouth cancer.

Weakened Immune System: A weakened immune system, the body's defense against germs, can also increase the risk. This can happen due to certain medications, particularly those used to suppress the immune system, like those taken after an organ transplant. Some medical conditions, such as HIV infection, can also weaken the immune system and increase the risk of cancer. A weakened immune system makes it harder for the body to fight off potentially harmful changes in cells, including those that can lead to cancer.

Prevention

Protecting Yourself from Floor-of-the-Mouth Cancer

Floor-of-the-mouth cancer can be a serious health concern. Here's how to lower your risk:

Stop Using Tobacco: Tobacco use significantly increases the risk of many cancers, including floor-of-the-mouth cancer. If you don't use tobacco, don't start. If you do use tobacco (cigarettes, cigars, chewing tobacco, etc.), talk to your doctor or other healthcare provider. They can help you develop a plan to quit. There are many resources and strategies available to help you succeed.

Limit Alcohol: Drinking too much alcohol also raises your risk of floor-of-the-mouth cancer. If you choose to drink, do it in moderation. For healthy adults, this means no more than one drink a day for women and no more than two drinks a day for men. A "drink" is typically a 12-ounce beer, a 5-ounce glass of wine, or a 1.5-ounce shot of liquor.

Consider the HPV Vaccine: The human papillomavirus (HPV) can cause certain cancers, including some mouth cancers. Getting vaccinated against HPV may help reduce your risk. Talk to your doctor about whether the HPV vaccine is appropriate for you, especially if you are younger. They can explain the benefits and any potential risks.

Regular Checkups: Seeing your dentist and doctor regularly is crucial. During these checkups, your healthcare providers can examine your mouth for any signs of cancer or precancerous changes. Early detection is key in treating these conditions effectively. They can look for unusual sores, lumps, or changes in your mouth. Catching these problems early can often save lives.

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Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.

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