Summary of Evidence
Note: Separate PDQ summaries on Oral Cancer Screening;Lip and Oral Cavity Cancer Treatment; and Prevention and Cessation of Cigarette Smoking: Control of Tobacco Use are also available.
Avoidance of Tobacco
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Based on solid evidence, avoidance or cessation of exposure to tobacco (e.g., cigarettes, pipes, cigars, and smokeless tobacco) would lead to a decrease in oral cancer.
Description of the Evidence
- Study Design: Evidence of association and reduced risk obtained from cohort or case-control studies.
- Internal Validity: Good.
- Consistency: Good.
- Magnitude of Effects on Health Outcomes: Decreased risk, moderate to large magnitude.
- External Validity: Good.
Avoidance of Alcohol
Although alcohol use is a risk factor for oral cancer, there is inadequate evidence that cessation of alcohol use decreases the risk of oral cancer.
Description of the Evidence
- Study Design: Evidence of association only from cohort or case-control studies.
- Internal Validity: Good.
- Consistency: Good.
- Magnitude of Effects on Health Outcomes: Decreased risk, moderate magnitude.
- External Validity: Good.
Oral cancer risk is highest in persons using both alcohol and tobacco, compared with those using one or the other.
Dietary Factors
There is inadequate evidence to determine whether a change in diet would decrease the risk of oral cancer.
Description of the Evidence
- Study Design: Evidence of association only obtained from cohort or case-control studies.
- Internal Validity: Inadequate.
- Consistency: Not applicable (N/A).
- Magnitude of Effects on Health Outcomes: N/A.
- External Validity: N/A.
Sun Exposure
There is inadequate evidence to determine whether reducing sun exposure would prevent lip cancer.
Description of the Evidence
- Study Design: Evidence of association only obtained from cohort or case-control studies.
- Internal Validity: Inadequate.
- Consistency: N/A.
- Magnitude of Effects on Health Outcomes: N/A.
- External Validity: N/A.
WebMD Public Information from the National Cancer Institute

