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doi:10.1080/02791072.2020.1740362

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Research shows that people who chew smokeless tobacco containing areca nut have a bigger risk of developing cancer in the mouth, throat, stomach and pancreas

Generally, a biopsy should be performed to rule out cancer. Another cancer risk associated with the use of smokeless tobacco is the development of oral submucous fibrosis, a condition in which tissue in the jaw becomes inflamed and stiff, preventing a person from being able to open their mouth fully

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