Encouraging early detection through quick mirror self-checks to reduce the growing burden of oral cancer
This May, HCG Manavata Cancer Centre is running a month-long oral cancer screening initiative to promote early detection and awareness. Individuals with tobacco habits or symptoms like ulcers, red or white patches are encouraged to get checked. The aim is to prevent cancer and support a tobacco-free life
Nashik, 29th April 2026: With head and neck cancers rising across India and oral cancers accounting for approximately 62% of cases, strengthening awareness and encouraging regular self-examination are critical for early detection. Reinforcing the importance of timely detection, renowned oncologist Dr. Raj Nagarkar, Managing Director & Chief of Surgical Oncology and Robotic Services, Dr. Vijay Palwe, Dr. Rajendra Dondhge , Dr. Mukesh Chaudhari , Dr. Mohsina Hussain , Dr. Koustubh Kumar, Dr. Amit Bhawalkar and Dr. Ulkesh Patil, HCG Manavata Cancer Centre, Nashik, are urging Nashikars to adopt a simple yet effective habit- taking just two minutes to feel, look, and act against oral cancer.
As part of the ongoing Head & Neck Cancer Awareness Month, the “Two-Minute Action for Oral Cancer Protection” campaign initiated by Merck Specialities Private Limited, under the hashtag #ActAgainstOralCancer, has gained significant momentum in Nashik, encouraging individuals to prioritise early self-checks and proactive health action.
Head and neck cancer is a broad term that encompasses epithelial malignancies that arise in the paranasal sinuses, nasal cavity, oral cavity, pharynx, and larynx. Almost all of these epithelial malignancies are squamous cell carcinoma of the head and neck (SCCHN), for which the most important risk factors are tobacco and alcohol consumption.1 However, increasing evidence has also documented human papillomavirus (HPV) as a cause of specific subsets of SCCHN.
“Head and neck cancers, including oral cancers, present with early signs such as persistent mouth ulcers, non-healing wounds, a constant sore throat, recurring headaches difficulty in swallowing, voice changes, or neck swelling, chronic earaches, neck pain that doesn’t go away, swelling in the jaw, neck, or side of the face, while advanced stages may lead to severe pain, weight loss, bleeding, and difficulty in eating or speaking. Head and neck cancers are steadily rising across India, with oral cancers accounting for nearly 62% of all cases. A significant majority, around 80–85% of these cancers are linked to tobacco use, along with other contributing factors such as areca nut (supari) chewing, alcohol consumption, and infections like Human papillomavirus infection. The incidence of head and neck cancers is increasing in Maharashtra and Nashik, emerging as a growing public health concern. At HCG Manavata Cancer Centre, Nashik, head and neck cancers account for around 50% of all diagnosed cancer cases, with oral cancers comprising nearly 70% of these. Tobacco remains a major risk factor in nearly 60% of oral cancer cases. Most patients, about 70–75% are above 50 years of age, while nearly 25% are below 50, indicating a gradual shift towards younger populations. Although oral cancer is largely preventable, nearly 70% of patients are diagnosed at an advanced stage (Stage III or IV), making treatment more complex and outcomes more challenging,” said Dr. Raj Nagarkar, Managing Director & Chief of Surgical Oncology and Robotic Services, HCG Manavata Cancer Centre, Nashik.
Dr. Raj Nagarkar further added, “Cancer recurrence is seen in nearly 15% of patients even after successful treatment, underlining the need for regular follow-up and continuous monitoring. Oral cancer continues to more common in men, who account for nearly 80% of cases, while women make up about 20%. At the same time, there has been a noticeable shift in recent years, with cases among non-smokers and individuals who do not use tobacco rising by 30-40% over the past 4–5 years due to poor oral hygiene, HPV infection, and genetic factors. If not diagnosed or treated on time, these cancers can spread to other organs reducing survival and quality of life. Diagnosis is confirmed through clinical examination, imaging like PET scan and CT scan, MRI, Endoscopy, X-ray/Barium Swallow, Panoramic Radiograph, Oral Visual Inspection (OVI), and biopsy. Treatment options include surgery, radiation therapy, chemotherapy, and increasingly, immunotherapy in selected cases. Early screening, tobacco cessation, quitting alcohol and awareness of warning signs remain the most effective preventive strategies.”
Dr. Raj Nagarkar also explained that Head and neck cancers are largely preventable, yet cases are rising due to increasing use of tobacco products like cigarettes, bidis, and gutkha. Many people don’t realize that gutkha contains over 400 harmful chemicals apart from nicotine, including tar, making it extremely dangerous for oral health. Becoming tobacco-free is one of the most effective ways to prevent cancer. Even after surgery, chemotherapy, or radiation, patients and families should understand that oral cancer can recur. For example, even if a part of the tongue is removed, if the root cause is tobacco or HPV, it is not always limited to one area, the entire mouth, throat, food pipe, and windpipe remain at risk. In fact, 15–20% of patients may see recurrence within the first two- three years. HPV-related cancers, once less common, are now increasing. HPV vaccination, commonly known for preventing cervical cancer, can also help reduce the risk of other cancers, and should be encouraged for both girls and boys. Cancer treatment has evolved significantly. Along with chemotherapy, newer approaches like targeted therapy and immunotherapy are helping manage even recurrent cancers more effectively. Prevention and early detection remain strongest tools. Through regular counselling, tobacco cessation support, and a monthly oral cancer screening program from 1st to 31st May at the Head and Neck cancer department, we aim to raise awareness and save lives. Individuals with tobacco habits or any oral cancer- related symptoms like ulcers, red and white patches are encouraged to come forward for oral health check-ups, where necessary tests, including biopsy, will be done. Our goal is simple: prevent cancer and help people lead a tobacco-free life.
Emphasising prevention and early detection, Dr. Nagarkar said the campaign serves as an important reminder for everyone to adopt a simple monthly self-check. He urged, “Look carefully inside the mouth for white or red patches, ulcers that do not heal within two weeks, or any unusual bleeding or loose teeth. Feel for lumps or swelling in the jaw or neck, hoarseness or voice changes, and persistent pain in the ear or while swallowing. If you notice any of these signs, act immediately and consult a doctor without delay. Early detection can significantly improve treatment outcomes.”
