365 doi: (Published 05 June 2019) Cite this as: BMJ 2019;365:l2142 Pankaj Chaturvedi, professor1, Arjun Singh, fellow, head and neck oncology1, Chih-Yen Chien, professor2, Saman Warnakulasuriya, professor3 1 Tata Memorial Hospital, Mumbai, India 2 Kaohsiung Chang Gung Memorial Hospital, Taiwan 3 Kings College, London Correspondence to: P Chaturvedi chaturvedi gmail.com What you need to know Smoking and use of chewed forms of tobacco are the most common causes of oral cancer Patients present with a persistent non-healing ulcer in the mouth or a growth, and may have impaired speech and chewing as a result Encourage those who use tobacco to attend an annual oral visual examination to detect early lesions such as white or red patches in the mouth or fibrosis limiting opening of the mouth Immediately refer patients with a suspicious lesion and history of tobacco use to a specialist for imaging and biopsy to confirm diagnosis Surgical excision of the tumour is warranted in most patients, and reconstructive surgery can minimise disruption of facial features and function to an extent Oral cancer accounts for over 140 000 deaths annually across the world
Compact cans: Easy to carry and dispose of used pouches
SMF produces a hardening of the mouth lining which can develop into oral cancer
Diaphragm: A healthy set of lungs has a dome-shaped diaphragm
What you'll learn Six lessons cover the essentials: The Tobacco Control Act and the regulations on making, marketing, advertising, and promoting cigarettes and other tobacco products The health risks associated with smoking and tobacco use How children should be protected from tobacco and cigarette promotions The proper procedures for carding anyone who appears to be underage Written company policies and how to refuse a sale E-cigarettes: how they work, the gaps in current law, and the concerns raised by the American Lung Association, the FDA, and the CDC Format and certificate The course is online and self-paced
