A pathologist's view of oral cancer in the north west

The significance of oral mucosal squamous cancer is considered in terms of the annual numbers of new cases and deaths, and the physical and psychological effects of the disease and its management. The sex, age and geographical distribution are outlined, and common presenting features and its natural clinical course are discussed. In addition, the presentation reviews the achievements and disappointments of clinicians and scientists involved in cancer management and research in recent years. Microvascular surgery and the adoption of a team approach are selected as achievements which have provided immediate benefits for the patient. The rising incidence of cancer among younger age groups, the occurrence of multiple oral cancers and systemic metastatic deposits are used to illustrate disquieting trends. A health education and screening programme to raise public awareness of oral cancer and the critical importance of early detection, and the application of molecular biology, are suggested as two areas offering hope for future progress.