Understanding Head, Neck and Oral Cancers

Dr. Abhinand Peddada, radiation oncologist with the Renown Institute for Cancer, speaks with News 4's Melissa Carlson.

Head, neck and oral cancers account for just 3 percent of all cancer in the U.S. and can be hard to spot — with some symptoms feeling like a common cold. Dr. Abhinand Peddada, radiation oncologist with the Renown Institute for Cancer, explains more.

The signs of head, neck and oral cancers can be difficult to detect without a medical professional, since some symptoms mimic the common cold. We asked Abhinand Peddada, M.D., radiation oncologist with the Renown Institute for Cancer, to break down the symptoms and lifestyle risks of these rare cancers.

First off, what are some of the signs and symptoms people should be aware of?

Symptoms can vary based on where the cancer is. For example, throat cancer may show up as a persistent sore throat, while sinus cancer may present as soreness or pressure in the sinuses that doesn’t get better.

Some other symptoms to watch may include:

  • Swelling in the throat
  • Painless swelling in the neck
  • Red or white patches in the throat
  • Hoarseness
  • Bloody noses or blood in the mucus or saliva
  • A new and unexplained lump or bump anywhere on the face, neck, mouth or throat
  • Difficulty breathing
  • Difficulty swallowing, chewing or moving the muscles in your face, neck, mouth or throat
  • Bad breath, even with good oral hygiene
  • Loose teeth
  • Dentures or retainers that no longer fit
  • Double vision

Who is most at risk for head, neck and oral cancers?

Both men and women can develop head, neck and oral cancers, but men are at almost twice the risk of women. People over the age of 40 are also at a higher risk, and these cancers tend to be more common in African Americans.

Tobacco use — including cigarettes, cigars, pipes and chewing tobacco — is another risk factor. Tobacco is linked to 85 percent of head and neck cancers. Exposure to fumes and chemicals can increase your risk as well.

We’re also seeing more HPV-related head and neck cancers in the U.S., so patients with HPV may want to watch more closely for symptoms.

What about screening and prevention? 

Your dentist already looks for signs and symptoms at your regular dental checkups. Additionally, if you have one of these risk factors and are experiencing signs and symptoms, it’s a good idea to check with your doctor about possible screenings.

To help prevent these types of cancers, try to minimize your controllable risk factors. This means quitting tobacco, watching your alcohol consumption and taking care of your oral hygiene by brushing and flossing regularly.

We also recommend the HPV vaccination for both boys and girls starting at age 11. By vaccinating at an earlier age, one is less likely to develop oral HPV.

What do diagnosis and treatment look like for these cancers?

At Renown Institute for Cancer we offer the most advanced diagnostic testing available including fiberoptic photos, CT and PET scans, as well as MRIs.

Together, you and your care team will decide which treatment best fits your needs. For these types of cancers, treatment options include radiation, chemotherapy and surgery.

To learn more about the Renown Institute for Cancer, visit renown.org/cancer or call 775-982-4000.