From the ghats of Varanasi to the fields of Gorakhpur, the Purvanchal region is famous for its vibrant culture. However, it also holds a troubling distinction: it is one of India’s biggest hotspots for Oral Cancer.
For many in Eastern UP and Bihar, a small mouth ulcer or a white patch is often dismissed as “heat” or a minor infection. But in a region where tobacco use is high, these small signs can be life-altering.
In this guide, we break down everything you need to know about Oral Cancer, featuring insights from Dr. Swapnil Patel, a renowned Surgical Oncologist at Upkar Hospital and Cancer Institute, Varanasi.
The “Purvanchal Factor”: Why Us?
The prevalence of Oral Cancer in our region isn’t a mystery; it’s a result of specific lifestyle habits.
- Smokeless Tobacco (The Big Three): Gutka, Khaini, and Zarda stay in contact with the mouth lining for hours, causing DNA damage to cells.
- Betel Nut (Supari): Even without tobacco, supari is a known carcinogen that causes the mouth muscles to stiffen (OSMF).
- Late Diagnosis: Due to a lack of awareness, nearly 70% of cases in Purvanchal are diagnosed at an advanced stage.
Recognizing the Red Flags (Symptoms)
Early detection is the difference between a simple procedure and a complex surgery. Watch out for:
- The 2-Week Rule: Any ulcer or mouth sore that does not heal within 14 days.
- Color Changes: Persistent white (Leukoplakia) or bright red patches on the tongue or inner cheek.
- Restricted Mouth Opening: Difficulty eating or speaking due to stiffness in the jaw.
- Lump in the Neck: A painless swelling that gradually increases in size.
- Difficulty Swallowing: Feeling like food is “stuck” in the throat.
Modern Diagnosis: Precision Matters
At Upkar Hospital, the diagnostic process is streamlined to ensure no time is wasted. Dr. Swapnil Patel emphasizes a “Triple Assessment”:
- Expert Physical Exam: Identifying subtle changes the untrained eye might miss.
- Biopsy: A small tissue sample is analyzed. Contrary to local myths, a biopsy does not cause cancer to spread.
- Advanced Imaging: Using CT scans or MRIs to map the tumor’s exact location and size.
Treatment: World-Class Care in Varanasi
Residents of Purvanchal no longer need to travel to Mumbai or Delhi for advanced oncology. Under the expertise of Dr. Swapnil Patel (formerly of AIIMS and Tata Memorial Hospital), Upkar Hospital offers:
Precision Oncology Surgery
The goal is “Clear Margins”—removing the cancer entirely while saving as much healthy tissue as possible.
Microvascular Reconstruction
For advanced cases, Dr. Patel specializes in “reconstructive surgery.” This involves taking tissue from other parts of the body to rebuild the jaw or tongue, ensuring the patient can still speak and eat effectively.
Comprehensive Post-Care
Cancer care doesn’t end at surgery. Upkar Hospital provides integrated radiation and chemotherapy support, along with speech and swallow therapy.
How to Protect Yourself
The Mirror Test: Once a month, look in a mirror under bright light. Check your tongue, gums, and the roof of your mouth.
Quit the Habit: The body begins to repair itself the moment you stop using tobacco.
See a Specialist: If you find something suspicious, skip the local chemist and see a Surgical Oncologist immediately.
About Dr. Swapnil Patel & Upkar Hospital
Dr. Swapnil Patel is a highly skilled Surgical Oncologist known for his precision and patient-first approach. At Upkar Hospital and Cancer Institute, he brings “Tata Memorial standards” of treatment to the heart of Varanasi.
Location: Upkar Hospital, Sundarpur – BLW Road, Varanasi.
Expertise: Oral Cancer, Head & Neck Surgery, Reconstructive Oncology.
Don’t let fear stop you. Early detection saves lives.
