Oral cancer primary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
Effective measures for the primary prevention of oral cancer include tobacco cessation, alcohol cessation, eating variety of fruits and vegetables, and avoiding excessive sun exposure.
Primary Prevention
- Effective measures for the primary prevention of oral cancer include:
- Tobacco cessation
- Based on solid evidence, cessation of exposure to tobacco (e.g., cigarettes, pipes, cigars, and smokeless tobacco) leads to a decrease in the risk of cancer of the oral cavity and oropharynx.
- Cessation of alcohol consumption
- Based on fair evidence, cessation of alcohol consumption leads to a decrease in oral cavity cancer, but not until approximately 10 years after cessation.
- For cancer of the oropharynx, reduction in risk does not occur until approximately 20 years after cessation.
- Human papillomavirus (HPV) vaccine
- Vaccination against HPV 16 and 18 has been shown to prevent more than 90% of oral HPV 16/18 infections within 4 years of vaccination.
- Given the relatively recent onset of vaccination adoption and the age at which individuals are vaccinated, there is not yet evidence that vaccination at a young age will lead to a substantially reduced risk of HPV-associated oropharyngeal cancer later in life.
- In addition, no data are available to examine whether incidence or mortality would be reduced if vaccination occurred at an age closer to that at which oropharyngeal cancers tend to present.[1]
- Tobacco cessation
References
- ↑ Huber MA, Tantiwongkosi B (2014). "Oral and oropharyngeal cancer". Med. Clin. North Am. 98 (6): 1299–321. doi:10.1016/j.mcna.2014.08.005. PMID 25443678.