Oral cancer cases are indeed rising every year in India and many other countries, and doctors are deeply concerned about this trend. Here’s a clear explanation:
Why oral cancer cases are increasing:
- Tobacco and Gutkha Consumption – Chewing tobacco, gutkha, khaini, betel quid, and smoking are the biggest causes. India is the world’s largest consumer of smokeless tobacco, which directly affects the mouth lining.
- Alcohol Use – Regular alcohol consumption increases the risk and, when combined with tobacco, multiplies the chances of developing oral cancer.
- Poor Oral Hygiene and Infections – Lack of dental care, untreated mouth sores, and HPV (Human Papilloma Virus) infections contribute to rising cases.
- Unhealthy Lifestyle – Poor diet, excessive spicy food, and lack of fruits/vegetables weaken immunity and oral health.
- Low Awareness – People often ignore early symptoms like white patches, mouth ulcers, or difficulty swallowing, thinking they are minor.
Why 70% of patients come late for treatment:
- Ignored Early Symptoms – In the beginning, oral cancer may just look like a mouth ulcer, patch, or swelling, so patients delay consulting a doctor.
- Stigma and Fear – Many hesitate to discuss tobacco or alcohol use with doctors.
- Lack of Access to Healthcare – Rural and small-town areas often lack specialized cancer screening facilities.
- Financial Concerns – Treatment is costly, and many delay until the disease becomes severe.
Consequences of Late Diagnosis:
- When 70% of cases are detected late, the cancer often reaches advanced stages.
- Treatment becomes more complicated, involving surgery, chemotherapy, or radiotherapy.
- Survival chances drop significantly compared to early detection.
What can be done:
- Regular Screening – Dental and ENT check-ups can detect early signs.
- Awareness Campaigns – Educating people about early symptoms like persistent ulcers, red/white patches, or difficulty in swallowing.
- Quitting Tobacco and Alcohol – The biggest step to prevention.
- Government Support – Affordable treatment and screening programs in rural areas.
👉 In short: Oral cancer is increasing mainly due to lifestyle habits and lack of awareness. The tragedy is that most cases could be treated successfully if caught early, but 70% of patients reach hospitals too late.


