The Hidden Costs of Oral Cancer: Why Black Americans Face Greater Health Risks

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The Hidden Costs of Oral Cancer: Why Black Americans Face Greater Health Risks

A study from the American Cancer Society highlights an unsettling trend: African Americans face a higher risk of oral cancer than white Americans. Mortality rates for oral cancer were 85% higher for Black men compared to their white counterparts back in 2000. This disparity remains important today.

Dr. Richard J. Vargo, an expert in oral pathology, emphasizes that early diagnosis can significantly boost survival rates, giving patients over an 80% chance of living five more years. “We aim to detect precancerous lesions early to prevent them from developing into cancer,” he explains.

Oral cancer typically presents as a sore that won’t heal or unusual patches in the mouth. Interestingly, many people don’t seek help until pain forces them to. Dr. Vargo notes that a sore may not hurt at first, making it easy to ignore.

In the U.S., nearly 60,000 individuals were diagnosed with oral cancer in 2024 alone, according to recent reports. The incidence is increasing annually, which is alarming. Furthermore, Black patients often receive diagnoses at later stages, making treatment more challenging.

Access to healthcare plays a significant role in these disparities. Many African Americans may lack access to routine dental care and cancer screenings, leading to late-stage diagnoses. Social factors, like poverty and lack of education, further complicate the situation.

There’s also a concerning link between the human papillomavirus (HPV) and oral cancer. Approximately 80% of oropharyngeal squamous cell carcinomas are tied to high-risk HPV infections. This statistic has risen steadily over the last 30 years, making HPV-related oropharyngeal cancers the most common type of HPV-associated cancer in the country.

In terms of treatment, Dr. Vargo discusses various options such as biopsies, CO2 laser ablation, and topical medications. Regular screenings can catch cancer early. At the St. Louis Dental Center, each patient undergoes a comprehensive oral cancer screening, which is crucial for early detection.

Patients are also encouraged to conduct self-exams regularly. Using a bright light and mirror, examine the inside of your mouth, tongue, and neck for any unusual lumps. Noticing something odd? It’s time for a visit to the dentist.

While about 43% of patients survive oral cancer for more than five years, many face complications like eating and speaking difficulties. The push for a national educational program on oral health screenings is more critical than ever, emphasizing the need for regular check-ups and self-exams.

By raising awareness and addressing healthcare disparities, we can make strides in the fight against oral cancer and improve outcomes for all populations.



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