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How To Treat An Enlarged Lesion On The Right Cheek?
A 62 y/o fair skinned male farmer presents to the dermatologist with a nine-month history of progressively enlarging reddish papule on his right cheek. Examination reveals a dome shaped “pearly” 3mm lesion with small superficial blood vessels. Describe the likely diagnosis; explain diagnostic tests that may be used and what information is obtained from them; and describe possible treatment options
Thu, 14 Jul 2016
Hello,
I can understand your concern. The lesion could be benign or malignant as it is persistent for about 9 months. The benign lesions could be fibroma, myoma, papilloma etc. while it might be cancerous.
To have confirmed diagnosis, biopsy is required. As the lesion is 3 mm is size, entire lesion should be excised by oral surgeon and should be sent for biopsy.
The biopsy results can indicate what type of cells are involved in the tumor, whether the growth is benign, precancerous or cancerous and based on the type of cells and type of tumor, prognosis can be determined.
If the lesion is benign, it is excised and no more treatment is needed. It can be watched for recurrence. If it is precancerous, follow up should be made for watching progression into cancer from the same side. If it is cancerous, further chemotherapy or radiotherapy or both can advised by oncologist.
I hope this information helps. Thank you for choosing HCM. Take care.
Best,
Dr. Viraj Shah
I can understand your concern. The lesion could be benign or malignant as it is persistent for about 9 months. The benign lesions could be fibroma, myoma, papilloma etc. while it might be cancerous.
To have confirmed diagnosis, biopsy is required. As the lesion is 3 mm is size, entire lesion should be excised by oral surgeon and should be sent for biopsy.
The biopsy results can indicate what type of cells are involved in the tumor, whether the growth is benign, precancerous or cancerous and based on the type of cells and type of tumor, prognosis can be determined.
If the lesion is benign, it is excised and no more treatment is needed. It can be watched for recurrence. If it is precancerous, follow up should be made for watching progression into cancer from the same side. If it is cancerous, further chemotherapy or radiotherapy or both can advised by oncologist.
I hope this information helps. Thank you for choosing HCM. Take care.
Best,
Dr. Viraj Shah
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