Oral Cancer Without Tobacco: Rare Case in 22-Year-Old Saves Two Lives

Update: 2025-12-19 04:30 GMT

Thane — In an extraordinary and inspiring medical case at KIMS Hospital, Thane, a 22-year-old boy’s unexpected oral cancer diagnosis not only saved his own life but also led to the life-saving detection of early cancer in his mother.

A Rare Diagnosis at 22 — Without Any Habits

The young patient from Ankleshwar was diagnosed with oral cancer involving the lateral border of the tongue — an uncommon occurrence at his age. Even more unusual was the complete absence of tobacco, alcohol or areca nut use.

Under the care of Dr Hitesh Singhavi, Consultant – Head & Neck Oncosurgery, and Dr Anil Heroor, Director – Oncological Sciences, he underwent timely surgery (wide local excision with neck dissection). Histopathology confirmed Stage I cancer, enabling cure through surgery alone. He recovered rapidly, was discharged within three days, with complete healing by postoperative day seven.

“This case is a strong reminder that oral cancer can occur even in the absence of traditional risk factors. Early suspicion, quick diagnosis, and timely surgery spared this young patient from the long-term toxicity of radiation and preserved his quality of life,” said Dr Hitesh Singhavi.

A Mother’s Casual Comment That Changed Everything

During a routine follow-up visit, while discussing warning signs with the family, the patient’s mother mentioned a small ulcer inside her cheek. Clinical evaluation revealed a 2 × 1 cm suspicious lesion, and a biopsy confirmed early-stage malignancy.

She underwent surgery (wide excision of the left buccal mucosa with neck dissection and hyoglossus release), reconstructed using a local flap. Detecting the cancer early meant limited surgery, smooth recovery, and an excellent prognosis with nearly 90% 5-year survival.

“The mother’s cancer was caught purely because the family was made aware of early symptoms during her son’s treatment. Awareness is not optional — it is lifesaving. Early-stage cancers allow us to offer treatment with minimal impact on speech, swallowing, and overall function,” said Dr Anil Heroor.

A Rare Yet Critical Link: Chronic Mucosal Trauma

Detailed evaluation revealed a striking similarity:

Both mother and son had sharp teeth, causing constant trauma at the exact site where their cancers developed.

This highlights chronic mucosal trauma (CMT) — a lesser-known but increasingly recognised contributor to oral cancer. Research, including a 2017 publication by the treating surgeon, supports that persistent irritation from sharp teeth or ill-fitting dental structures can trigger chronic inflammation, dysplasia, and eventual malignant transformation.

This case underscores that oral cancer is not solely a disease of tobacco or alcohol, but can also emerge from long-standing, unnoticed physical injury.

Early Detection: The Transformative Advantage

Because both cancers were caught early:

• Aggressive treatments were avoided

• Radiotherapy was not required

• Speech, swallowing, taste, and appearance were preserved

• Hospital stay and recovery time were minimal

• Long-term survival outcomes improved significantly

This powerful dual story demonstrates a simple truth:

Oral cancer detected early is not a death sentence — it is a completely solvable medical condition.

A son walked into the hospital as a cancer patient. He walked out cured — and unknowingly helped save his mother’s life.

One diagnosis. Two lives. Two timely interventions — not by luck, but by awareness.

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