Authors :
Md. Musheed Ahmed; M. Sri Rama Chandra; E. Bala Krishna Gowd; V. Thriveni; P. Moulali
Volume/Issue :
Volume 11 - 2026, Issue 3 - March
Google Scholar :
https://tinyurl.com/ysc54dwp
Scribd :
https://tinyurl.com/ysydr4vs
DOI :
https://doi.org/10.38124/ijisrt/26mar2064
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
In developing countries like India, where lifestyle choices, delayed diagnosis, and restricted access to healthcare lead
to high mortality rates, oral cancer is particularly widespread and continues to be a significant global health concern. The
epidemiology, etiological factors, and clinical presentation of oral cancer are among the many characteristics examined in this
review. Oral squamous cell carcinoma, the most common type, is closely associated with human papillomavirus infection, alcohol
consumption, tobacco use, and chewing betel quid. A majority of cases are still discovered at advanced stages, despite
improvements in early detection brought about by advancements in diagnostic modalities ranging from cytological screening to
molecular and imaging-based approaches. In order to improve disease control and survival, therapeutic approaches have
changed from traditional surgery and radiation to multimodal regimens that include chemotherapy, targeted therapy, and
immunotherapy. The review also emphasizes how multidisciplinary management, community awareness campaigns, and
preventive measures can improve patient outcomes. Effective control measures require an understanding of how biological
mechanisms, behavioral risk factors, and developing therapeutic technologies interact. Together, improving comprehensive
care, public health regulations, and early detection can lessen the worldwide impact of oral cancer and improve overall
prognosis.
Keywords :
Squamous Cell Carcinoma, Oral Cancer, Risk Factors, Diagnosis, Radiotherapy, Chemotherapy, Prevention, India
References :
- Warnakulasuriya S. Oral and oropharyngeal cancer epidemiology worldwide. 2009; 45[4-5]:309–316; Oral Oncol.
- Gupta B, Johnson NW, Kumar N. Head and neck cancer epidemiology worldwide: an ongoing challenge. 2016; 91[1]:13–23; Oncology.
- Warnakulasuriya S, Ariyawardana A. Malignant transformation of oral leukoplakia: a systematic review of observational studies. J Oral Pathol Med. 2016;45[3]:155–166.
- Johnson NW, Jayasekara P, Amarasinghe AA. Squamous cell carcinoma and precursor lesions of the oral cavity: epidemiology and aetiology. Periodontol 2000. 2011;57[1]:19–37.
- Argiris A, Karamouzis MV, Raben D, Ferris RL. Head and neck cancer. Lancet. 2008;371[9625]:1695–1709.
- Sankaranarayanan R, Ramadas K, Amarasinghe HK, Subramanian S, Johnson N. Oral cancer: prevention, early detection, and treatment. In: Gelband H, et al., editors. Cancer: Disease Control Priorities, Third Edition [Volume 3]. Washington [DC]: World Bank; 2015. p. 125–146.
- Chi AC, Day TA, Neville BW. Oral cavity and oropharyngeal squamous cell carcinoma—an update. CA Cancer J Clin. 2015;65[5]:401–421.
- Sankaranarayanan R, et al. Prevention, early detection, and treatment of oral cancer. Bull World Health Organ. 78[10]:1186–1197, 2000.
- Human papillomavirus and the increasing incidence of oropharyngeal cancer in the United States, Chaurvedi AK, et al. 2011;29[32]:4294–4301; J Clin Oncol.
- Mehanna H, et al. Oral cancer treatment and monitoring: a worldwide viewpoint. 2010;7[12]:675–687; Nat Rev Clin Oncol.
- Oral Cancer Treatment [PDQ®]—Health Professional Version, National Cancer Institute, 2024.
- Petersen PE. Oral cancer prevention and control—the approach of the World Health Organization. Oral Oncol. 2009;45[4–5]:454–460.
- Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide. CA Cancer J Clin. 2021;71[3]:209–249.
- Rivera C. Essentials of oral cancer. Int J Clin Exp Pathol. 2015;8[9]:11884–11894.
- Mehrotra R, Yadav S. Oral squamous cell carcinoma: etiology, pathogenesis and prognostic value of genomic alterations. Indian J Cancer. 2006;43[2]:60–66.
- Zhang L, Williams M, Poh CF, et al. Toluidine blue staining identifies mucosal lesions at risk for progression to oral cancer. Cancer Res. 2005;65[17]:8017–8021.
- Nair DR, Pruthy R, Pawar U, Chaturvedi P. Oral cancer: Premalignant conditions and screening—an update. J Cancer Res Ther. 2012;8[Suppl 1]:S57–S66.
- Haddad RI, Shin DM. Recent advances in head and neck cancer. N Engl J Med. 2008;359[11]:1143–1154.
- Scully C, Bagan J. Recent advances in oral oncology 2013: Epidemiology, aetiopathogenesis, diagnosis and prognostication. Oral Oncol. 2014;50[7]:647–656.
- Lydiatt WM, Patel SG, O’Sullivan B, et al. Head and neck cancers—major changes in the American Joint Committee on Cancer eighth edition cancer staging manual. CA Cancer J Clin. 2017;67[2]:122–137.
- Leemans CR, Snijders PJF, Brakenhoff RH. The molecular landscape of head and neck cancer. Nat Rev Cancer. 2018;18[5]:269–282.
- Vermorken JB, Remenar E, van Herpen C, et al. Cisplatin, fluorouracil, and docetaxel in unresectable head and neck cancer. N Engl J Med. 2007;357[17]:1695–1704.
- Cohen EEW, Soulières D, Le Tourneau C, et al. Pembrolizumab versus methotrexate, docetaxel, or cetuximab for recurrent or metastatic head and neck squamous cell carcinoma [KEYNOTE-040]. Lancet. 2019;393[10167]:156–167.
- Ferris RL, Blumenschein G Jr, Fayette J, et al. Nivolumab for recurrent squamous-cell carcinoma of the head and neck. N Engl J Med. 2016;375[19]:1856–1867.
- Sharma DC, Dhanasekaran R. Oral cancer: prevention, early detection, and treatment strategies. J Cancer Res Ther. 2021;17[5]:1135–1142.
In developing countries like India, where lifestyle choices, delayed diagnosis, and restricted access to healthcare lead
to high mortality rates, oral cancer is particularly widespread and continues to be a significant global health concern. The
epidemiology, etiological factors, and clinical presentation of oral cancer are among the many characteristics examined in this
review. Oral squamous cell carcinoma, the most common type, is closely associated with human papillomavirus infection, alcohol
consumption, tobacco use, and chewing betel quid. A majority of cases are still discovered at advanced stages, despite
improvements in early detection brought about by advancements in diagnostic modalities ranging from cytological screening to
molecular and imaging-based approaches. In order to improve disease control and survival, therapeutic approaches have
changed from traditional surgery and radiation to multimodal regimens that include chemotherapy, targeted therapy, and
immunotherapy. The review also emphasizes how multidisciplinary management, community awareness campaigns, and
preventive measures can improve patient outcomes. Effective control measures require an understanding of how biological
mechanisms, behavioral risk factors, and developing therapeutic technologies interact. Together, improving comprehensive
care, public health regulations, and early detection can lessen the worldwide impact of oral cancer and improve overall
prognosis.
Keywords :
Squamous Cell Carcinoma, Oral Cancer, Risk Factors, Diagnosis, Radiotherapy, Chemotherapy, Prevention, India