Canker Sores vs. Oral Cancer — How to Tell the Difference

August 25, 2025

Concerned woman looking at her mouth in mirror

Oral cancer claims thousands of lives each year. Since you do not want to be one of its victims, it is important that you monitor your oral health and take note of any tissue abnormalities. Of course, you cannot self-diagnose cancer, and you might wonder whether certain growths are a cause for concern. For example, canker sores might resemble cancer in its early stages. How can you tell the difference between them? This blog post provides helpful advice.

Canker Sores vs. Oral Cancer — What Are They?

Before exploring the differences between canker sores and oral cancer, it is important to understand what each condition entails.

Canker sores, also known as aphthous ulcers, are small, shallow lesions that develop on the soft tissues inside the mouth or at the base of the gums. They are not contagious and usually heal on their own within 1 – 2 weeks. Canker sores can cause discomfort, especially when eating or speaking, but they are generally benign and do not pose a serious health risk.

Oral cancer, on the other hand, refers to malignant growths that can occur anywhere in the oral cavity, including the lips, tongue, cheeks, floor of the mouth, hard and soft palate, sinuses, and throat. Early detection is critical for successful management of this condition.

Key Differences Between Oral Cancer and Canker Sores

Distinguishing between a harmless canker sore and a potentially dangerous lesion is not always straightforward. However, there are some key differences that you can observe:

·                     Appearance:

o   Canker sores are typically round or oval with a white or yellow center and a red border. They are usually less than one centimeter in diameter.

o   Oral cancer lesions may appear as persistent red or white patches, lumps, or ulcerations. These can be irregular in shape, firm to the touch, and may not heal over time.

·                     Pain Level:

o   Canker sores often cause significant discomfort, especially during eating, drinking, or speaking.

o   Early oral cancer lesions are frequently painless. Pain may develop as the condition progresses.

·                     Duration:

o   Canker sores generally resolve within 1 – 2 weeks without medical intervention.

o   Oral cancer lesions persist for more than two weeks and may gradually enlarge or change in appearance.

·                     Associated Symptoms:

o   Canker sores are not linked to other symptoms beyond local mouth discomfort.

o   Oral cancer may be associated with unexplained bleeding, numbness, difficulty swallowing, or a sensation of something being stuck in the throat.

When to See a Professional

While canker sores are generally harmless and self-limiting, certain situations warrant an immediate dental consultation. Our practice encourages you to book an appointment if you notice any of the following:

·                     An ulcer or sore that does not heal within a couple of weeks.

·                     Persistent pain, swelling, or changes in oral tissues.

·                     Red or white patches that do not resolve.

·                     Unexplained bleeding or numbness in the mouth.

·                     Difficulty chewing, swallowing, or speaking.

·                     Lumps, thickening, or rough spots in the mouth or on the lips.

Our team can provide a thorough oral cancer screening. f necessary, we can also help you arrange for additional testing.

Oral cancer and canker sores might look a bit alike, but they are vastly different conditions! Keep an eye on your oral health and seek professional care if you have any reasons for concern.

Meet the Practice

Dr. Makadia is a highly skilled general dentist with decades of experience in his field. He combines state-of-the-art technology with his vast knowledge to provide top-quality care for every patient. If it is time for your next oral cancer screening, or you have other concerns about your oral health, contact our Bohemia, Long Island, office at 631-567-5566.