Oral Cancer in India

This is a common picture in India especially among the labour class where the form of smoke known as Bidis is common along with tobacco either as inhalation or in chewable form. First Oral Submucous fibrosis develops with restriction of mouth opening and then some form of non healing ulcer or growth erupts. Because of ignorance and poverty, there is often delay in treatment. No wonder, Oral cancer is most common form of cancer in this subcontinent of Asia

Cholesteatoma protruding through previous cortical mastoid cavity

 

Well lined cholesteatoma sac seen protruding through Mastoid bone. He underwent cortical Mastoidectomy 10 years back and was almost symptom free except for once annual ear discharge for last 3 years which used to respond to antibiotics. This ear discharge was from postaural fistula. This time, his ear discharge responded partly and it came from ear canal as well with typical fishy smell of Cholesteatoma.

Memorial Sloan Kettering Cancer Hospital, New York

 

Dr. Jatin P Shah, Chief of Head & Neck Surgery (middle) with Dr. Apostoles (Italy) and Dr. Ajay  Jain (India) at his 10th floor Office at MSKCH

 

With Fellows  of Head & Neck Surgery at MSKCH, New York