The article by Gamez et al. [1] made a good read and was indeed a treasure trove of information covering a wide gamut of tongue cancers in young cohorts. We would like to add further to the existing literature. The signature of oral cancer seems to have spread globally and the WHO would soon christen it as “GLORAL” cancer. Risk factors that might be germane for younger patients include genetic factors, family history, immunodeficiency, oral hygiene, viral infections, and dietary factors, but a clear-cut consensus is apparently lacking [2,3]. Case history in young cohorts who are non-smokers and non-alcoholics needs to be redefined by an addition of few further details. Passive smoking needs to be asked for in This subset of patients, most of them are non-smokers, non-alcoholics and should be documented in the case history. The prevalence of second-hand smoke is higher than the active smoking [4] necessitating the need for global health organisations to promote awareness and resolve this public health quandary.