The commonest cancer of oral cavity is
**Core Concept**
The oral cavity is a common site for various types of cancers, each with distinct characteristics and risk factors. The majority of oral cavity cancers are epithelial in origin, arising from the squamous cells that line the mucosa.
**Why the Correct Answer is Right**
Squamous cell carcinoma (SCC) is the most common type of oral cavity cancer, accounting for approximately 90% of cases. This is due to the high exposure of the oral mucosa to carcinogens, such as tobacco smoke and alcohol, which can lead to malignant transformation of squamous cells. SCC typically arises from the mucosal surfaces of the tongue, floor of the mouth, and buccal mucosa. The tumor cells exhibit a characteristic keratinization process, leading to the formation of a thick, hardened outer layer.
**Why Each Wrong Option is Incorrect**
**Option A:** Adenocarcinoma is a type of cancer that arises from glandular tissues, which are not typically found in the oral cavity. While adenocarcinomas can occur in the salivary glands, they are relatively rare in the oral cavity.
**Option B:** Melanoma is a type of skin cancer that arises from melanocytes, which are not typically found in the oral mucosa. While melanomas can occur in the oral cavity, they are much less common than SCC.
**Option C:** Sarcoma is a type of cancer that arises from connective tissue, such as bone, cartilage, or fat. While sarcomas can occur in the oral cavity, they are relatively rare compared to SCC.
**Clinical Pearl / High-Yield Fact**
The "ABCDE" rule is a helpful mnemonic for identifying oral cancer: Asymmetry, Borders, Color, Diameter, and Evolution. This rule can aid in the early detection of oral cancers, which are often asymptomatic in the early stages.
**β Correct Answer: D. Squaous cell carcinoma**