tobacco related to many cancers
Channel: NEW HOPE CANCER RIBBON SOCIETY
Date: 2020-06-02

tobacco is one of addiction product .it contains more than thousands harmful chemicals.it causing psychological and physical dependance ,because of these reason person found difficulty to leave this addiction.kanpur city is hub for tobacco production and it is important causative factor for pouth cancer in kanpur city in uttarpradesh (india)

it is consume in many way -chewing,smoking,hukka etc.chewing causing repeated trauma to mucosa of oral cavity.after years of habit patients develop submucous fibrosis,leukoplakia,erthroplakia ,dysplasia ,carcinoma insitu,carcinoma.most common histopathological variant is squamous cell carcinoma .
most common symptoms are ulcer in mouth ,bleeding ,foul smelling, trismus,white layering ,thickening of inner mucosa ,excessive slivation and later stages pain referred to ear .
diagnosis -biopsy and scrap is most common method for confirmation of lesion if it come malignant then for extention of disease -cect face for bony erosion and  cect neck to look for mets in lymph nodes  or mri for soft tissue extention,perineural &extra nodal extention  .for metastatic workup -x ray chest ,pet ct also important in advanced stages ..
treatments
many options are there including surgery ,radiothearpy,chemotherapy.now days immunotherapy also come .
overall survivals 
as disease progress survival reduces .mostally patients have ignorancefrom their side  to start treatment in early stages 
in india important lacuna is insurance ,social responsibility, education for screening and treatment.
we can win dreadly disease if we were fight together -patients their relatives ,society,doctor .key for success is fight together .
we are loosing many patients due to lack of education related to this bad habits ,they left behind their family  full of  tears .screening and education is very impotant for winning and fighting agaist this disease