yeah, I was on faculty at a dental school and told husband that I had seen lesions in 17 yr olds from chewing tobacco. ah, it will never happen to me. took awhile but it sure did. stage 4a BOT cancer. so far, he has beat it but i wouldn't wish the treatment on my worst enemy.

Spouse of 58 yr old with BOT cancer
Stage 4a HPV16 positive
3 chemo treatments cisplantin
35 radiation treatments 7000 cGy
former smoker/chewed tobacco for 38 yrs.
1/2020 diagnosed with cancer near TMJ
4/2020 chemo 5 days every 2 weeks
6/2020 proton therapy
9/21/2020 cancer free