Indian cancer: Our experience with review of literature

Abstract

Introduction: Gingivobuccal (GB) complex disease is the most common subsite involved in India hence aptly called as the Indian Cancer. The widespread use of smokeless tobacco consumption is the main etiological factor. We undertook a study to see the pattern of presentation, evaluation and the treatment offered depending on the disease spread. Materials and methods: Prospective study of 100 patients visiting the out patient department of Father Muller Medical College, Mangalore suffering from oral cavity cancer with primary involvement of GB complex. Results: The main complaint was presence of an ulcerative lesion followed by foreign body sensation and pain. Lower GB sulcus with involvement of horizontal ramus was commonest presentation. Upfront nodal metastasis was not common. Discussion: GB complex disease has a much greater incidence in women unlike subsites. Its a disease with better prognosis than other subsites hence, early tumors can be effectively managed. Detailed tumor staging and comprehensive disease management protocol has been postulated. Conclusion: Proper staging of the disease with good surgical resection ensures better survival. Team work is the key to good outcome.