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Sameep S Shetty

Title: Are oral malignancies in India unique

Sameep S Shetty

Manipal University, India

Biography

Sameep S Shetty is an Assistant professor in Department of Oral and Maxillofacial surgery at Manipal University India .He obtained his bachelor’s degree in dentistry from A.B Shetty memorial institute of dental sciences in 2008 and completed his masters in oral and maxillofacial surgery from the prestigious SDM College of dental sciences, Dharwad in 2013. He has also enrolled for a fellowship programme in Oral cancer at HCG Cancer Centre, Bangalore.
His flair in writing has made his presence in international publications including the prestigious British Medical Journal. His passion for sports and poetry has won him several accolades.

Abstract

Cancer compliments no boundaries or barriers, engulfs humans with no reverence, although Indian circumstances could be more lethal from the Western counterparts. The magnitude at which cancer is rapidly sweeping through in India, advanced inoperable stages at presentation, lack of resources in rural areas is indeed alarming. The delay in diagnosis and advanced stage at presentation are often impugned on fatalistic attitudes, low socioeconomic status and low literacy rates of Indian masses.
Oral cancer has increased amongst young cohorts a new emerging head and neck cancer patient population. Historically Oral cancer has been a disease of elderly habituated to tobacco and alcohol. There has been a gradual change in demographics of oral malignancies as most of its predators seem to be young teetotalers. Absence of a tobacco habit or alcohol consumption might contribute to delay, as cancer is not suspected immediately, hence it is prudent not to stereotype who may or may not get cancer. 
Young adults with oral malignancies are distinct from the older adult cancer population with respect to their spectrum of disease due to the tumor biology, their turbulent developmental status of life, psychosocial needs, and long term complications of cancer in terms of recurrence, distant metastasis and treatment side effects. A series of cases of oral malignancies are presented, some at an advanced, inoperable and unresectable stage, the literature reviewed with respect to its clinical presentation and treatment considerations in these ambiguous predators.
An Indian solution to the oral cancer conundrum is to be less differential by preventive care, and early diagnosis whilst simultaneously remaining as reverential towards the quality of life rather than the duration of survival. The roots of oral cancer needs to be traced, as we are treating the same disease, but the circumstances are different.