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Smoking and Oral Cancer

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Book cover Development of Oral Cancer

Abstract

Tobacco is known for its addiction and carcinogenic potential. It is one of the most avoidable risk factors of cancer. Tobacco use dates far back in the history, from being used as a medicine to becoming a commercial product for recreational use. The tobacco industry grew quickly with the development of technology and large-scale marketing. Tobacco increases the risk of multiple cancers as well as other chronic conditions. Squamous cell carcinoma of the oral cavity is one of the many cancers associated with tobacco exposure. Tobacco use is also associated with premalignant lesions of the oral cavity such as leukoplakia. The various chemicals in tobacco promote DNA damage and also cause mutations that prevent DNA repair. The number of pack years of smoking is directly proportional to the risk of developing oral cancer. Smokers are three times more likely to develop oral cancer when compared to non-smokers. The good news is that the risk reduces after smoking cessation. Primary prevention strategies are aimed at creating public awareness about the hazards of smoking which has reduced consumption to some extent in the developed countries. Secondary prevention involves screening individuals for any suspicious lesions in the oral cavity and prevents advanced disease.

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References

  1. Parkin DM, Bray F, Ferlay J, Pisani P. Estimating the world cancer burden: Globocan 2000. Int J Cancer. 2001;94(2):153–6.

    Article  CAS  PubMed  Google Scholar 

  2. WHO fact sheet, Tobacco, June 2016.

    Google Scholar 

  3. IARC Working Group on the Evaluation of Carcinogenic Risk to Humans. Tobacco Smoke and Involuntary Smoking. Lyon: International Agency for Research on Cancer; 2004. (IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, No. 83.) Available from: https://www.ncbi.nlm.nih.gov/books/NBK316407/.

  4. WHO: Tobacco. Geneva, World Health Organization, 2014.

    Google Scholar 

  5. Borio G. The Tobacco Timeline. http://archive.tobacco.org/History/Tobacco_History.html.

  6. Haustein KO, Groneberg D. Tobacco or health? Physiological and social damages caused by tobacco smoking. 2nd ed. Berlin: Springer; 2010.

    Google Scholar 

  7. Loddenkemper R, Kreuter M. The tobacco epidemic, 2nd revised and extended edition. Progress in respiratory research, vol. 42. Basel: Karger; 2015. p. 1–18.

    Google Scholar 

  8. Mackenzie C. Sublime tobacco. London: Chatto & Windus; 1957.

    Google Scholar 

  9. Slade J. The tobacco epidemic: lessons from History. J Psychoactive Drugs. 1989;21(3):281–91.

    Article  CAS  PubMed  Google Scholar 

  10. Proctor R. Golden holocaust: origins of the cigarette catastrophe and the case for abolition. Oakland: University of California Press; 2012.

    Google Scholar 

  11. Brandt A. The cigarette century. The rise, fall, and deadly persistence of the product that defined America. New York: Basic Books; 2007.

    Google Scholar 

  12. History of the Surgeon General’s Reports on Smoking and Health, compiled by the Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention. Updated December 2006.

    Google Scholar 

  13. Mendez D, Warner KE, Courant PN. Has smoking cessation ceased? Expected trends in the prevalence of smoking in the United States. Am J Epidemiol. 1998;148(3):249–58.

    Article  CAS  PubMed  Google Scholar 

  14. Centers for Disease Control and Prevention: Cigarette Smoking in the United States. Atlanta, CDC, 2014. http://www.cdc.gov/tobacco/campaign/tips/resources/data/cigarette-smoking-in-united-states.html.

  15. Viegas CA. Noncigarette forms of tobacco use. J Bras Pneumol. 2008;34:1069–73.

    Article  PubMed  Google Scholar 

  16. Centers for Disease Control and Prevention (US); National Center for Chronic Disease Prevention and Health Promotion (US); Office on Smoking and Health (US). Cancer. In: How tobacco smoke causes disease: the biology and behavioral basis for smoking-attributable disease: a report of the surgeon general. Atlanta: Centers for Disease Control and Prevention (US); 2010. Available from: https://www.ncbi.nlm.nih.gov/books/NBK53010/.

  17. US Department of Health and Human Services. The health consequences of smoking: a report of the surgeon general. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004.

    Google Scholar 

  18. Green CR, Rodgman A. The tobacco chemists’ research conference; a half century of advances in analytical methodology of tobacco and its products. Recent Adv Tob Sci. 1996;22:131–304.

    Google Scholar 

  19. IARC. IARC monographs on the evaluation of carcinogenic risks to humans, suppl. 7, overall evaluations of carcinogenicity: an updating of IARC monographs volumes 1 to 42. Lyon: IARC Press; 1987.

    Google Scholar 

  20. IARC. IARC monographs on the evaluation of carcinogenic risks to humans, vol. 49, chromium, nickel and welding. Lyon: IARC Press; 1990.

    Google Scholar 

  21. IARC. IARC monographs on the evaluation of carcinogenic risks to humans, vol. 58, beryllium, cadmium, mercury and exposures in the glass manufacturing industry. Lyon: IARC Press; 1993.

    Google Scholar 

  22. Hoffmann D, Hoffmann I. The changing cigarette: chemical studies and bioassays. In: Risks associated with smoking cigarettes with low machine-measured yields of tar and nicotine (Smoking and tobacco control monograph No. 13; NIH Publ. No. 02-5074). Bethesda: National Cancer Institute; 2001. p. 159–91.

    Google Scholar 

  23. IARC. IARC monographs on the evaluation of carcinogenic risks to humans, vol. 78, ionizing radiation. Part 2: Some internally deposited radionuclides. Lyon: IARC Press; 2001.

    Google Scholar 

  24. Engstrom PF, Clapper ML, Schnoll RA. Carcinogenic and genotoxic effects of tobacco constituents. In: Kufe DW, Pollock RE, Weichselbaum RR, et al., editors. Holland-Frei cancer medicine. 6th ed. Hamilton: BC Decker; 2003. Available from: https://www.ncbi.nlm.nih.gov/books/NBK12437/.

    Google Scholar 

  25. Gao H, Prasad GL, Zacharias W. Combusted but not smokeless tobacco products cause DNA damage in oral cavity cells. Environ Toxicol Pharmacol. 2014;37(3):1079–89. doi:10.1016/j.etap.2014.03.022.

    Article  CAS  PubMed  Google Scholar 

  26. Alexandrov LB, Ju YS, Haase K, Van Loo P, Martincorena I, Nik-Zainal S, Totoki Y, Fujimoto A, Nakagawa H, Shibata T, Campbell PJ, Vineis P, Phillips DH, Stratton MR. Mutational signatures associated with tobacco smoking in human cancer. Science. 2016;354(6312):618–22.

    Article  CAS  PubMed  Google Scholar 

  27. Asmussen E, Hansen EK. Surface discoloration of restorative resins in relation to surface softening and oral hygiene. Scand J Dent Res. 1986;94:174–7.

    CAS  PubMed  Google Scholar 

  28. Jette AM, Feldman HA, Tennstedt SL. Tobacco use: a modifiable risk factor for dental disease in the elderly. Am J Public Health. 1993;83:1271–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Hirsch JM, Livian G, Edward S, et al. Tobacco habits among teenagers in the city of Göteborg, Sweden, and possible association with dental caries. Swed Dent J. 1991;15:117–23.

    CAS  PubMed  Google Scholar 

  30. Fortier I, Ferraris J, Mergler D. Measurement precision of an olfactory perception threshold test for use in field studies. Am J Ind Med. 1991;20:495–504.

    Article  CAS  PubMed  Google Scholar 

  31. Agnihotri R, Gaur S. Implications of tobacco smoking on the oral health of older adults. Geriatr Gerontol Int. 2014;14(3):526–40.

    Article  PubMed  Google Scholar 

  32. Patil S, Doni B, Maheshwari S. Prevalence and distribution of oral mucosal lesions in a geriatric Indian population. Can Geriatr J. 2015;18(1):11–4.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Axeixt T, Hedin CA. Epidemiologic study of excessive oral melanin pigmentation with special reference to the influence of tobacco habits. Eur J Oral Sci. 1982;90(6):434–42.

    Article  Google Scholar 

  34. Hedin C, Pindborg JJ, Axéll T. Disappearance of smoker’s melanosis after reducing smoking. J Oral Pathol Med. 1993;22(5):228–30.

    Article  CAS  PubMed  Google Scholar 

  35. Monteiro LS, Costa JA, da Camara MI, et al. Aesthetic depigmentation of gingival smoker’s melanosis using carbon dioxide lasers. Case Rep Dent. 2015;2015:510589.

    PubMed  PubMed Central  Google Scholar 

  36. Galai N, Park LP, Wesch J, et al. Effect of smoking on the clinical progression of HIV-1 infection. J Acquir Immune Defic Syndr Hum Retrovirol. 1997;14(5):451–8.

    Article  CAS  PubMed  Google Scholar 

  37. Abu-Elteen KH, Abu-Alteen RM. The prevalence of Candida albicans populations in the mouths of complete denture wearers. New Microbiol. 1998;21(1):41–8.

    CAS  PubMed  Google Scholar 

  38. Shiboski CH, Shiboski SC. Smoking is an independent risk factor for the development of oral candidiasis (OC) in HIV-1 infected persons. J Evid Based Dent Pract. 2013;13(4):180–2.

    Article  PubMed  Google Scholar 

  39. Kramer IR, Lucas RB, Pindborg JJ, et al. WHO collaborating Centre for Oral Precancerous Lesions. Definition of leukoplakia and related lesions: an aid to studies on oral precancer. Oral Surg Oral Med Oral Pathol. 1978;46:518–39.

    Article  CAS  PubMed  Google Scholar 

  40. Van der Waal I. Potentially malignant disorders of the oral and oropharyngeal mucosa; terminology, classification and present concepts of management. Oral Oncol. 2009;45(4–5):317–23.

    Article  PubMed  Google Scholar 

  41. Shafer WB, Waldron CA. A clinical and histopathologic study of oral leukoplakia. Surg Gynecol Obstet. 1961;112:411–20.

    CAS  PubMed  Google Scholar 

  42. Waldron CA, Shafer WG. Leukoplakia revisited: a clinicopathologic study of 3256 oral leukoplakias. Cancer. 1975;36:1386–92.

    Article  CAS  PubMed  Google Scholar 

  43. Pindborg JJ, Renstrup G, Poulsen HE, et al. Studies in oral leukoplakia. V. Clinical and histologic signs of malignancy. Acta Odont Scand. 1963;21:407–14.

    Article  CAS  PubMed  Google Scholar 

  44. Feller L, Altini M, Slabbert H. Pre-malignant lesions of the oral mucosa in a South African sample: a clinicopathologic study. J Dent Assoc S Afr. 1991;46:261–5.

    CAS  PubMed  Google Scholar 

  45. Hashibe M, Mathew B, Kuruvilla B, Thomas G, Sankaranarayanan R, Parkin DM, Zhang ZF. Chewing tobacco, alcohol, and the risk of erythroplakia. Cancer Epidemiol Biomark Prev. 2000;9(7):639–45.

    CAS  Google Scholar 

  46. Arakeri G, Brennan PA. Oral submucous fibrosis: an overview of the aetiology, pathogenesis, classification, and principles of management. Br J Oral Maxillofac Surg. 2013;51(7):587–93.

    Article  PubMed  Google Scholar 

  47. Villa A, Villa C, Abati S. Oral cancer and oral erythroplakia: an update and implication for clinicians. Aust Dent J. 2011;56:253–6. doi:10.1111/j.1834-7819.2011.01337.x.

    Article  CAS  PubMed  Google Scholar 

  48. Bray F, Ren JS, Masuyer E, Ferlay J. Global estimates of cancer prevalence for 27 sites in the adult population in 2008. Int J Cancer. 2013;132(5):1133–45. doi:10.1002/ijc.27711.

    Article  CAS  PubMed  Google Scholar 

  49. Blot WJ, McLaughlin JK, Winn DM, Austin DF, Greenberg RS, Preston-Martin S, Bernstein L, Schoenberg JB, Stemhagen A, Fraumeni JF Jr. Smoking and drinking in relation to oral and pharyngeal cancer. Cancer Res. 1988;48(11):3282–7.

    CAS  PubMed  Google Scholar 

  50. Blot WJ. Alcohol and cancer. Cancer Res. 1992;52(7 Suppl):2119s–23s.

    CAS  PubMed  Google Scholar 

  51. Rivera C. Essentials of oral cancer. Int J Clin Exp Pathol. 2015;8(9):11884–94.

    PubMed  PubMed Central  Google Scholar 

  52. Gandini S, Botteri E, Iodice S, et al. Tobacco smoking and cancer: a meta-analysis (link is external). Int J Cancer. 2008;122(1):155–64.

    Article  CAS  PubMed  Google Scholar 

  53. Macfarlane GJ, Zheng T, Marshall JR, et al. Alcohol, tobacco, diet and the risk of oral cancer: a pooled analysis of three case-control studies. Eur J Cancer B Oral Oncol. 1995;31B(3):181–7.

    Article  CAS  PubMed  Google Scholar 

  54. Samet JM. The health benefits of smoking cessation. Med Clin North Am. 1992;76(2):399–414.

    Article  CAS  PubMed  Google Scholar 

  55. Lee YC, Marron M, Benhamou S, Bouchardy C, Ahrens W, Pohlabeln H, Lagiou P, Trichopoulos D, Agudo A, Castellsague X, Bencko V, Holcatova I, Kjaerheim K, Merletti F, Richiardi L, Macfarlane GJ, Macfarlane TV, Talamini R, Barzan L, Canova C, Simonato L, Conway DI, McKinney PA, Lowry RJ, Sneddon L, Znaor A, Healy CM, McCartan BE, Brennan P, Hashibe M. Active and involuntary tobacco smoking and upper aerodigestive tract cancer risks in a multicenter case-control study. Cancer Epidemiol Biomark Prev. 2009;18(12):3353–61. doi:10.1158/1055-9965.EPI-09-0910.

    Article  CAS  Google Scholar 

  56. Silverman S Jr, Shillitoe EF. Etiology and predisposing factors. In: Silverman Jr S, editor. Oral cancer. 4th ed. Hamilton: BC Decker Inc; 1998. p. 7–24.

    Google Scholar 

  57. Silverman S Jr, Griffith M. Smoking characteristics of patients with oral carcinoma and the risk for second oral primary carcinoma. J Am Dent Assoc. 1972;85:637–40.

    Article  PubMed  Google Scholar 

  58. McCoy GD, Wynder EL. Etiological and preventive implications in alcohol carcinogenesis. Cancer Res. 1979;39(7 Pt 2):2844–50.

    CAS  PubMed  Google Scholar 

  59. Brugere J, Guenel P, Leclerc A, Rodriguez J. Differential effects of tobacco and alcohol in cancer of the larynx, pharynx, and mouth. Cancer. 1986;57(2):391–5.

    Article  CAS  PubMed  Google Scholar 

  60. Scully C, Bagan JV, Hopper C, Epstein JB. Oral cancer: current and future diagnostic techniques. Am J Dent. 2008;21(4):199–209.

    PubMed  Google Scholar 

  61. Black JH 3rd. Evidence base and strategies for successful smoking cessation. J Vasc Surg. 2010;51(6):1529–37. doi:10.1016/j.jvs.2009.10.124.

    Article  PubMed  Google Scholar 

  62. Brocklehurst P, Kujan O, O'Malley LA, Ogden G, Shepherd S, Glenny AM. Screening programmes for the early detection and prevention of oral cancer. Cochrane Database Syst Rev. 2013;11:CD004150.

    Google Scholar 

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Abro, B., Pervez, S. (2017). Smoking and Oral Cancer. In: Al Moustafa, AE. (eds) Development of Oral Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-48054-1_4

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  • DOI: https://doi.org/10.1007/978-3-319-48054-1_4

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