514 tumours and tumour-like lesions of the oral cavity are reviewed. This represents 7.6 % of all malignancies. The most frequent were salivary gland tumours (197), followed by epidermoid carcinomas (118), Burkitt’s lymphoma (102), and odontogenic tumours and cysts (46). Comparison with tumour other series is unreliable, because of widely differing conditions and facilities, but it seems likely that many apparent differences may disappear as medical facilities in Africa improve. Within Kenya, there is an excess of oral epidermoid carcinoma in the Coastal peoples, and this may be related to the common practice of chewing mixtures such as tambuu.