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Increased Risk (hereditary)
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Posted
As the daughter of someone diagnosed with Squamous Cell Carcinoma of the tongue, do I have an increased risk ?

If so, what action should I take ?
 
Posts: 269 | Location: Yorkshire | Registered: 04 April 2007Reply With QuoteReport This Post
Picture of John Spencer
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Good Afternoon Winnie,
I can't answer your first question but asked to guess I would say no, Dr. Joshi may wish to comment when he returns from the far east.
The answer to your second question is the advice which applies to everyone.
1)Smoking is a definite proven risk
2)Smoking and drinking is an even higher risk
3)Taking tobacco in any form is a risk.
4)If anything unusual appears in your mouth and does not clear in three weeks see your doctor/dentist.
I hope this helps.
Keep Smiling Razzer
John
 
Posts: 479 | Location: Mirfield,West Yorks. | Registered: 13 October 2004Reply With QuoteReport This Post
Picture of Dr Vinod K Joshi
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Hello Winnie

There is no known hereditary factor in mouth cancers.

from RISKS FACTORS FOR DEVELOPING ORAL CANCER
quote:

Genetic Factors: Genetic factors involved in the development of cancer include:

Hereditary predisposition: An individual with a hereditary predisposition for cancer is a person with an increased likelihood of developing cancer due to inherited genes. These inherited genes make body cells more sensitive to environmental factors, such as sunlight and tobacco, and, therefore change normal body cells into cancer cells.
Oncogenes: Cancers can be derived from mutations in genes that change cell growth patterns. These genes are called oncogenes. Such a mutation in an oncogene can convert ordinary body cells into cancer cells. Cancers caused by oncogenes are not inherited. To date, scientists have discovered more than 100 oncogenes, and several oncogenes have been associated with cancers of the head and neck.
Tumor suppressor genes: Normal tumor suppressor genes are anti-cancer genes that slow down or stop growth of normal body cells. Mutations of tumor suppressor genes can also cause the development of oral and pharyngeal cancers.
Tobacco and Alcohol: Use of tobacco and alcohol are the major risk factors for developing oral cancer. Tobacco and alcohol contains substances that are carcinogenic or promote cancer. Cigarettes smoke and substances in smokeless tobacco have received considerable attention as carcinogens that promote oral cancer. Studies also indicate that smoking in combination with consumption of alcohol produces an even greater risk for oral cancer than use of either substance alone.

Radiation: Radiation of high dosage and prolonged duration can produce cancer. There is no evidence that routine dental X-rays are carcinogenic, especially with today's high speed, low dosage machines.

Traumatic irritation: Prolonged irritation from broken teeth, rough dental restorations, and ill-fitting dentures are considered a possible causes for oral cancer.

Viruses: Some viruses can cause cancer in human cells. Studies have indicated a link to oral cancer with infections from herpes simplex type- I virus, Epstein-Barr virus, and human papillomavirus.


Hope that helps set your mind at ease.

Best wishes
Vinod Cool


Disclaimer: Please see your own dentist/doctor for a proper diagnosis as my words should not, in any circumstances, be taken as dental/medical advice.

"If you see what is small as it sees itself, and accept what is weak for what strength it has, and use what is dim for the light it gives, then all will go well. This is called Acting Naturally."
Lao-Tsu, Tao Teh King
 
Posts: 3748 | Location: St Luke's Hospital, Bradford and Pinderfields Hospital, Wakefield | Registered: 14 December 2002Reply With QuoteReport This Post
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Am I reading this wrongly then ?

There are some data implicating Herpes simplex viruses (HSV) and the Human papillomaviruses (HPV) in the aetiology of oral cancer 1 although, if they do have an oncogenic role it is likely to be small. 43 Lower socio-economic status is positively linked with a higher incidence of oral cancer. 44 First degree relatives of persons with squamous cell carcinoma of the head and neck have a significantly increased relative risk (3.79) for developing head and neck cancer. 19
 
Posts: 269 | Location: Yorkshire | Registered: 04 April 2007Reply With QuoteReport This Post
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Thanks for pointing this out. It is a 1996 paper "Familial risks of squamous cell carcinoma of the head and neck: retrospective case-control study".

It appears that there might be a small risk but the issue is confounded by the possibilty of shared other risk (environmental and viral) factors.

from the paper:
quote:
Conclusions: These data suggest that genetic factors are important in the aetiology of head and neck cancer, in particular for patients with multiple primary cancers. Given the prolonged exposure of these subjects to carcinogens, these genetic factors may have a role in modifying carcinogen activity or in host resistance to carcinogens. Inherited factors may be important in persons with environmentally induced cancers.


Personally, I wouldn't worry about the genetic risk but would try to avoid the other risks, and be vigilant (as every one should be). There is only so much one can do or should worry about.

Hope that helps.

Best wishes
Vinod Coffee (about to have breakfast in Jakarta) Cool


Disclaimer: Please see your own dentist/doctor for a proper diagnosis as my words should not, in any circumstances, be taken as dental/medical advice.

"If you see what is small as it sees itself, and accept what is weak for what strength it has, and use what is dim for the light it gives, then all will go well. This is called Acting Naturally."
Lao-Tsu, Tao Teh King
 
Posts: 3748 | Location: St Luke's Hospital, Bradford and Pinderfields Hospital, Wakefield | Registered: 14 December 2002Reply With QuoteReport This Post
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Thanks very much for taking the time to reply.

My head is all over the place at the moment. I never would have believed that mum's diagnosis (and seeing her after he surgery) could have had such a profound effect on me. Being a straight forward, no nonsense Yorkshire lass - we are not given to over-reaction, but my mind has been running on overtime for weeks.

Thanks again. Vigilance is the key !!!
 
Posts: 269 | Location: Yorkshire | Registered: 04 April 2007Reply With QuoteReport This Post
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