{"id":63797,"date":"2017-12-28T09:00:52","date_gmt":"2017-12-28T01:00:52","guid":{"rendered":"https:\/\/www.pamper.my\/news\/?p=63797"},"modified":"2017-12-22T02:58:16","modified_gmt":"2017-12-21T18:58:16","slug":"mouth-cancer-early-detection-makes-difference","status":"publish","type":"post","link":"https:\/\/www.pamper.my\/news\/health\/mouth-cancer-early-detection-makes-difference\/","title":{"rendered":"Mouth Cancer: Why Early Detection Makes all the Difference"},"content":{"rendered":"

Ulcers, sore throat, a painful tongue and difficulty chewing \u2013 are these just your regular ailments or symptoms of something more like mouth cancer?<\/strong><\/em><\/p>\n

In the news recently: A 24-year-old university student, Muhammad Faid, was diagnosed with mouth cancer, making him the youngest patient ever. Faid had a painless ulcer that appeared on the left side of his tongue. He didn\u2019t think much of it until his mother realised that the ulcer did not disappear since being discovered end of 2016. Then things got worse as Faid soon began to sustain bleeding with cavity appearing on his tongue. By the time he was diagnosed with mouth cancer, Faid was already a Stage III patient and doctors had to surgically remove three-quarters of his tongue promptly[1]<\/sup><\/sup><\/a>.<\/p>\n

Faid\u2019s case is typical where mouth cancer patients are normally diagnosed at a later stage, making treatment and recovery more complicated. This is mainly because the early symptoms of mouth cancer like ulcers, sore throat, difficulty chewing and tenderness in the mouth are often overlooked as just your regular ailments when in fact, they could be warning signs of a more fatal disease.<\/p>\n

Mouth cancer is fairly easily treated if detected early, however, late detection increased the mortality rate for the cancer as compared to other cancer types. \u201cPatients come in at all stages, but the treatment outcome will be better if they come in at the early stages,\u201d says Dr. Sobia Bilal, Lead for the Quit Smoking Service at the IMU Healthcare Oral Health Centre.<\/p>\n

Dr. Hussien Al-Wakeel, Clinician-in-charge of the IMU Healthcare Oral Health Centre, agrees. \u201cMouth cancer starts painless but it is very easy to detect and very easy to manage if it is detected early. Often, it is neglected and the patient comes to the clinic at a very late stage where we cannot do anything unless we refer them for surgical procedures.\u201d<\/p>\n

Watch Out For That Ulcer<\/strong><\/p>\n

So what are the telltale signs of mouth cancer? \u201cThere are many kinds of ulcers. Main indicator are the ones that are not healing. So if you notice a stubborn ulcer that isn\u2019t healing for over two weeks, go to a dentist immediately. We have the instruments to see the inner side of the mouth better and provide a diagnosis,\u201d says Dr. Naveen Jnanendrappa, lecturer in the Department of Oral & Maxillofacial Surgery, IMU School of Dentistry.<\/p>\n

Self-oral examination conducted at least once a month could help with early detection, says Dr. Wakeel. \u201cEssentially, you want to check for abnormal lumps or ulcers that have not healed for more than two weeks \u2013 that is the cut-off time.\u201d (Refer to appendix for diagram. Download at http:\/\/www.mouthcancer.org\/downloads\/<\/a>)<\/p>\n

<\/strong><\/p>\n

MOUTH CANCER IN MALAYSIA<\/strong><\/p>\n

Sadly, in Malaysia, two persons are diagnosed with mouth cancer every day where 75% seek treatment at the later stages and only half of them survives[2]<\/sup><\/sup><\/a>.<\/p>\n

According to the National Cancer Registry, Ministry of Health (Malaysia), mouth cancer is the third most common cancer among Malaysian Indian community. Dr. Bilal explains that the cultural habit of chewing tobacco could be the reason for this as tobacco is considered a common risk factor for mouth cancer. Other risk factors include smoking and alcohol consumption. However, it is interesting to note that more recently, for reasons that are still unclear, mouth cancer is increasingly diagnosed in individuals who do not practice these risk habits[3]<\/sup><\/sup><\/a>. Which makes awareness the best \u201ccure\u201d for mouth cancer.<\/p>\n

TREATING MOUTH CANCER<\/strong><\/p>\n

Treatment and management for the cancer is possible though exhaustive, especially if presented in late stages. Treatment begins with seeing how far along the cancer has spread, says Dr. Jnanendrappa. \u201cA CT scan & MRI scan allows us to evaluate the spread of the disease. Ultrasonography helps us see where it has spread in the neck. A biopsy will be needed where a sample of the tumour is extracted for the pathologist to determine the types and grading of the cancer,\u201d he further explains.<\/p>\n

After which, the treatment course will be decided, depending on a few things like the patient\u2019s age. \u201cBasically, when you talk about treatment, there are three options: radiotherapy, chemotherapy and surgery. Surgery has been around the longest and more reliable. In radiotherapy, the radiation kills the cancer cells whereas in chemotherapy, you get some medications that again kill the cells,\u201d explains Dr. Jnanendrappa.<\/p>\n

Like all cancers, a better quality of life is what doctors are after with treatment for mouth cancer. Typically, a patient will face speech and eating problems when their oral cavity is affected by the cancer. Facial disfigurement may also be obvious and visible. \u201cOnce [patients] know that they have cancer, it\u2019s a big deal. They need nutritional and psychological counselling. Speech therapists would also be needed because most of the time, when you cut a part of the tongue, you can\u2019t speak properly. So you need to retrain how to speak properly. Also a social worker because in many places, these surgeries are quite expensive,\u201d says Dr. Jnanendrappa.<\/p>\n

Teo Soo Lay, an accredited practicing dietitian with IMU Healthcare Medical Clinic, explains how nutritional counselling works in this instance. \u201cWe want to make sure you stay strong. No matter the treatment type, patients will go through some weight loss, some vomiting and dry mouth. These will affect how much you\u2019re going to eat further down the road. Patients need high energy and protein diets. Huge variety is always key \u2013 so often I\u2019ve seen patients just drinking plain soup rather than going for something that is more substantial. The other goal I have is to restore digestive health to prevent malnutrition.\u201d<\/p>\n

Nutritional support is made after taking into account the patient\u2019s assessments, dietary preferences and eating behaviour. \u201cWe will decide what would be the best plan together with the patient. We will support the patient nutritionally throughout their journey \u2013 we want to make sure that patients recover properly,\u201d says Teo.<\/p>\n

Additionally, some patients may seek pain management treatment in the form of complementary medicine like acupuncture. \u201cThe course of cancer treatment comes with side effects and may cause discomfort. If they have dry mouth, it helps them increase their saliva. Acupuncture could also help them to sleep better and get the rest they need. The main thing is to help them relieve these symptoms of discomfort, not to replace current medical treatment,\u201d explains Anthony Wong Wei Bing, a Chinese Medicine practitioner at IMU Healthcare Chinese Medicine Centre.<\/p>\n

Aside from awareness, the key is to reduce the rate of smoking which is a risk factor for mouth cancer, says Dr. Bilal. \u201cAccording to the latest 2017 WHO monitoring report, there are 43% of male adult smokers in Malaysia which means one out of two Malaysian men smoke. The statistics is huge, the prevalence of smokers in Malaysia huge. We have to do something about bringing down the prevalence and controlling the risk factor at the grass root level\u201d.<\/p>\n

APPENDIX<\/strong><\/p>\n

[1]<\/sup><\/sup><\/a> https:\/\/www.thestar.com.my\/news\/nation\/2017\/08\/21\/smoker-at-17-cancer-patient-at-24\/<\/a><\/p>\n

[2]<\/sup><\/sup><\/a> http:\/\/www.freemalaysiatoday.com\/category\/leisure\/2017\/02\/13\/malaysians-developing-worlds-first-oral-cancer-vaccine\/<\/a><\/p>\n

[3]<\/sup><\/sup><\/a> http:\/\/www.cancerresearch.my\/research\/oral-cancer\/<\/a><\/p>\n

Read also:\u00a0Must read: What do you need to know about breast cancer?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Ulcers, sore throat, a painful tongue and difficulty chewing \u2013 are these just your regular ailments or symptoms of something more like mouth cancer? In the news recently: A 24-year-old university student, Muhammad Faid, was diagnosed with mouth cancer, making him the youngest patient ever. Faid had a painless ulcer that appeared on the left […]<\/p>\n","protected":false},"author":10,"featured_media":63799,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","footnotes":"","jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true},"categories":[18],"tags":[10492],"yoast_head":"\nMouth Cancer: Why Early Detection Makes all the Difference | Pamper.My<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pamper.my\/news\/health\/mouth-cancer-early-detection-makes-difference\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mouth Cancer: Why Early Detection Makes all the Difference | Pamper.My\" \/>\n<meta property=\"og:description\" content=\"Ulcers, sore throat, a painful tongue and difficulty chewing \u2013 are these just your regular ailments or symptoms of something more like mouth cancer? 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This year\u2019s campaign theme \u2018Live Mouth Smart\u2019 empowers people to take control of their oral health \u2013 throughout life \u2013 so they can enjoy a healthy,\u2026","rel":"","context":"In "Festivals"","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.pamper.my\/news\/wp-content\/uploads\/2017\/03\/WOHD2017.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":138952,"url":"https:\/\/www.pamper.my\/news\/health\/should-cancer-patients-fast-during-ramadan\/","url_meta":{"origin":63797,"position":3},"title":"To Fast or Not to Fast: Should Cancer Patients Fast During Ramadan?","date":"Feb 28, 2026","format":false,"excerpt":"While those who are ill or receiving treatment for a serious illness are exempt, many faithful feel the spiritual need to do so. Dr Matin Mellor Abdullah, Consultant Clinical Oncologist, sheds some light on whether it\u2019s advisable. Fasting in the holy month of Ramadan is an important pillar of Islam\u2026","rel":"","context":"In "#PamperMyRaya2026"","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/media.pamper.my\/2026\/03\/cancer-patient-chemotherapy.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":58792,"url":"https:\/\/www.pamper.my\/news\/health\/must-read-need-know-breast-cancer\/","url_meta":{"origin":63797,"position":4},"title":"Must read: What do you need to know about breast cancer?","date":"Oct 23, 2017","format":false,"excerpt":"Do you know that breast cancer is a major global health problem and the leading cause of death among women of all ethnic backgrounds? According to Cancer Research Malaysia, there are estimated of 1.6 million new cases are diagnosed worldwide in 2015 and 560 thousand women will die of breast\u2026","rel":"","context":"In "Body"","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.pamper.my\/news\/wp-content\/uploads\/2017\/10\/pamper.my_breast-cancer-3.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":7247,"url":"https:\/\/www.pamper.my\/news\/health\/new-non-surgical-treatment-freezes-breast-cancer-in-its-tracks\/","url_meta":{"origin":63797,"position":5},"title":"New Non-Surgical Treatment Freezes Breast Cancer in Its Tracks","date":"Oct 29, 2015","format":false,"excerpt":"A nick of the skin, a flash of cold and 25 minutes on an exam table. For thousands of women, this may soon replace surgery as a treatment for breast cancer. Cryoablation, using extreme cold to destroy diseased cells, is potentially the first ever procedure to treat breast cancer tumors\u2026","rel":"","context":"In "Health"","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.pamper.my\/news\/wp-content\/uploads\/2015\/10\/280497.jpe?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]}],"_links":{"self":[{"href":"https:\/\/www.pamper.my\/news\/wp-json\/wp\/v2\/posts\/63797"}],"collection":[{"href":"https:\/\/www.pamper.my\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.pamper.my\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.pamper.my\/news\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pamper.my\/news\/wp-json\/wp\/v2\/comments?post=63797"}],"version-history":[{"count":0,"href":"https:\/\/www.pamper.my\/news\/wp-json\/wp\/v2\/posts\/63797\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.pamper.my\/news\/wp-json\/wp\/v2\/media\/63799"}],"wp:attachment":[{"href":"https:\/\/www.pamper.my\/news\/wp-json\/wp\/v2\/media?parent=63797"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pamper.my\/news\/wp-json\/wp\/v2\/categories?post=63797"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pamper.my\/news\/wp-json\/wp\/v2\/tags?post=63797"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}