Ercentage of patients who do not have any of our known risk factors for oral cancer. This is a group particularly in young white females who are developing oral cancer and we don't know their risk factors. Lisa garvin: so there's no known genetic mutation or inherited syndrome or anything that we know of now? Dr. Ann gillenwater: in general most people who present with oral cancer do not have a genetic syndrome or a strong family history. However, there are patients who do have a strong family history and there is an inherited syndrome called fanconi's anemia which has a very high rate of oral cancer development, particularly in young people. Lisa garvin: i would think since it's in the mouth and we use our mouth most of the day, is this something that we can catch early? Are the symptoms obvious? Dr. Ann gillenwater: many times there are no symptoms, in other words, the patient doesn't feel any pain. They're not bleeding, there's no big mass initially but if they were to look into their mouth and inspect it or have their dentist inspect it when they go for their routine cleaning, many times, precancerous or potentially malignant lesions could be detected. The most common of those is oral leukoplakia which is basically just a white spot in the mouth. There's also something called oral erythroplakia which means red spot. And anytime you see ulcer, an area that doesn't heal, a lump that is new or changing, these are potential signs of oral cancer. generic viagra online viagra for sale cheap generic viagra mg viagra sale uk buy viagra online australia fast delivery generic viagra lowest prices cheap viagra uk next day delivery viagra discount cheap generic viagra cheap viagra online canadian pharmacy And areas of sore gums that bleed, that don't improve after a good dental cleaning or antibiotics or reasonable amount of time should also be evaluated further for oral cancer. Lisa garvin: it sounds like dentists are kind of the front line in identifying oral cancers? Dr. Ann gillenwater: dentists are definitely the front line and they have a tremendous opportunity to inspect people for oral cancer when they come in for their dental evaluations and dental cleanings. Unfortunately, many people don't go in regularly to see their dentist. And the other front line would be the primary care physicians, the family doctors and the internist who examine patients as well. Lisa garvin: how often is it caught in early stages? Dr. Ann gillenwater: that's a tough.


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