Tag: oral cancer

Oral Cancers – Do It But Do It Right

ORAL ONCOLOGY CONNECT – EDUCATION SERIES

ICanCaRe 3rd International Oral Cancer e-Conclave

“DO IT, BUT DO IT RIGHT”

APRIL 2023 – ORAL CANCER AWARENESS MONTH

A SERIES OF 4 ONLINE PROGRAMS EVERY SUNDAY 3:00 – 5:00 PM.
QUIZ every day – 40 PRIZES TO BE WON worth 3.5 lakhs!
5 LUCKY WINNERS EVERY DAY – prizes worth Rs. 30000/-!!
Student presentations every day!!!
TIME – 3:00 – 5:30 PM, QUIZ– 5:15 – 5:30 PM
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Register (FREE – register only once for entire e-conclave) – http://register.icancare.in
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Details: http://econclave.icancare.in

India ranks No. 1 in terms of the number of Oral Cancer patients in the World.  “DO IT, BUT DO IT RIGHT” the theme for the 2023 Oral Cancer E-conclave aims to reach out to colleagues and youngsters to learn and be aware of the right interventions.

 Oral Cancer is a public health issue. It is easily detectable, it is easily treatable, and more importantly, it is preventable cancer. If we have to control the disease, everyone needs to be involved from the masses to the doctors.

SELF-ORAL AWARENESS (CHOTA DAANA) – Examine the oral cavity regularly, and know what is normal to see the doctor regularly. self oral awareness regular simple examination at home every month, and a clinical examination by a general physician, dental, ENT, or surgeon can detect any lesion early. What we say – CHOTA DANA – JAB BHI DEKHO CHOTA DANA USKI JAANCH JARUR KARANA, CANCER KO BANNE DO NA NASUR, JALD KARO ISHHE DOOR.

4 Finger Tests – KNOW YOUR MOUTH OPENING – this may be just the beginning of a disaster. Regular mouth opening exercise and avoiding causing agent. Knowledge for everyone.

AVOID DISASTERs – Osteoradionecrosis, post-radiotherapy brittle tooth, and tooth decay, preoperative planning for rehabilitation, and contouring surgical intervention to give good quality of life. These need knowledge dissipation amongst the oncologists – surgical, radiation, or medical. Associating dental colleagues is a must in the management of oncology patients.

EXCEPTING TOBACCO CESSATION – understanding, influencing, and referring to a specialist for cessation. Having a Cessation Specialist in your Institution or networking is a requirement. The knowledge that Tobacco use is a disease and these patients need the right treatment. Not referring the patient to the Tobacco Cessation expert may have medico-legal implications.

WHAT MATTERS is The BEST OUTCOME FOR Oral Cancer patients. THAT’S THE THEME OF THE 3rd  ORAL CANCER E-CONCLAVE – DO IT, BUT DO IT RIGHT. All-inclusive we have to skill up and respect every professional.

To encourage the youth we have planned an E-Quiz on the theme of the day and 40 prizes to be won as scholarships for India’s first Gujarat University accredited CERTIFIED TOBACCO CESSATION SPECIALIST course! AND LUCKY DRAW EACH DAY.

Foundation for Head and Neck Oncology, Sterlings Cancer Hospitals, MAX Hospital, and GUJARAT University joined hands to bring the stalwarts in the field of oral cancer in the month of April the Oral Cancer Awareness month on ICanCaRe Sunday Live to talk about what and how to build an ecosystem to tame the KING of all cancers – ORAL CANCER.

ORAL CANCER E-Conclave 2023

Dr. Pawan Gupta M.Ch.  Dr. Reena R Kumar  Dr. Manoj Tayal  Dr. Tapaswini  Convenor                              Academic Chair                           Co-convenor          9811290152                           9811091415                     9350220257                 9811544003

 Registration  – http://register.icancare.in Registration  – https://forms.gle/NjPvazTf8Z4gBxgh7

YD Shukla – Oral Cancer and Skin Induration, Postoperative Rehabilitation

 
Mr. YD Shukla of Kanpur was diagnosed with cancer of the buccal mucosa with skin induration and was operated on by Dr. Pawan Gupta at MAX Vaishali on March 1st, 2022. He had extensive surgery with free flap reconstruction. A good rehabilitation with speech and swallowing therapy along with mouth-opening exercises was given. TrisCaRe the mouth-opening device was given in the early stages of post-surgery. Now at 8 months, he is psychologically, functionally, and cosmetically doing well.
 

#pawangupta #max #oralcancer #oralcavity #triscare #rehabilitation #headneckcancer #mouthopening #trismus #maxvaishali

Areca Nut (Betel Nut, Guwaha, Supari) – Agents of Oral Cancers

Introduction:

The use of betel nut in various forms is rampant in India. It is being glamorized by the industry and sold in various forms. Rich and poor, male or female, all age groups are consuming it, almost 30% of the population in both rural and urban India consume it freely across all ages and socio-economic sections of the community. That’s why Oral cancer is very prevalent in India and stands at 30% of all cancer cases reported. Betel nut is one of the significant contributors to this. The market size of areca nut is around 100 billion rupees and it is being sold in India in various forms and advertised as mouth fresheners under various names Rajshree, gutkha, mukhwash, tulsi, rajnigandha, etc. Unfortunately, the young generation is being lured into using this harmful product. It is time we create awareness about the dangers of supari.

Areca (Betel) nut is a seed of the fruit of Areca Palm.  It is a stimulant drug.

The betel nut is used in various ways – fresh, dried, boiled, baked, roasted, or cured.

Betel nut consumption is rampant in the northern and eastern zones of the country. A common way of consuming betel nut is by using it as paan betel quids i.e. betel leaf, slaked lime, and betel nut with any other additives like cloves, elaichi, etc. Nowadays it is available in varieties in the market as part of paan masalas.

In many parts of India and Southeast Asia, it is part of social practice/customs, religious practices, and cultural rituals.

Effects of betel nuts:

It is carcinogenic and used with tobacco it causes cancer of the oral cavity, oropharynx, and esophagus. Betel nut affects almost all organs of the body including the brain, heart, lungs, gastrointestinal tract and reproductive organs, and also the endocrine system.

It is a stimulant drug. Like all drugs, there is no safe limit and one needs to be careful. The effect of the drug may vary according to size, weight, and health of the individual and also on the amount consumed. The variety of betel nut also matters.

As a stimulant the person may experience the following:

  • Mild euphoria and feeling of wellbeing
  • Alertness
  • Increased heart rate
  • Increased blood pressure
  • Sweating
  • Redness on the face and feeling warm
  • Tremors
  • Dizziness
  • Upset stomach, diarrhoea, vomiting
  • Psychosis

Long term effects:

  • Oral cavity and dental –
    • Discoloration of teeth and gums
    • Oral ulcers and gum diseases
    • Submucous fibrosis
    • Oral Cancers
  • Heart diseases – myocardial infarction, cardiac arrhythmias
  • Pulmonary – asthma
  • Gastrointestinal system – Stomach ulcers, hepatotoxicity
  • Reproductive system – infertility, harmful effect on the fetus when being used during pregnancy.
  • Endocrine system – diabetes, hyperlipidemia, hypothyroidism, prostate hyperplasia, central obesity
  • Aggravate immune system- suppressed T-cell activity
  • Cancers – oral cavity, oropharynx, esophagus, liver, biliary tract, and uterus.
  • dependency

Pathology and metabolism

Betel nuts contain 4 main alkaloids – Arecholine, arecaidine, guvacoline, and guvacine

The main alkaloid Arecholine has a systemic effect as well as it is a carcinogen. A number of nitrosamines are formed in the oral cavity mainly methylnitrosaminoproprionitrile which is most carcinogenic in the oral cavity causing cancers and submucous fibrosis.

The betel nut is being glamorized by the industry as mouth fresheners sold as Paan Masalas and fresheners. It is a harmful substance and needs to be banned.

The patient is referred to the Tobacco Cessation Intervention specialist to treat the patient for the smoking and chewing tobacco including betel nut, paan masala, gutkha, khaini, etc. One can Call 011-43077695 or visit www.icancare.in/quittobacco for assistance.

(The Author – Dr. Pawan Gupta M.Ch. is Director of Surgical Oncology at Max Super Speciality Hospital, Vaishali. Patparganj and Noida. He is the author of the book – Win Over Tobacco Made Easy, Be Smart Do Not Start and is highly recognized for his work on Oral Cancer and Tobacco Cessation. He is the convenor for Certified Course in Tobacco Cessation under the Gujarat University)

References:

Garg A, Chaturvedi P, Gupta PC. A review of the systemic adverse effects of areca nut or betel nut. Indian J Med Paediatr Oncol. 2014;35(1):3-9. doi:10.4103/0971-5851.133702