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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ulcer In Tongue, Inner Cheek. Leukoplakia. Given B Complex. Is It Cancer?

my mmom is suffering with a ulcer kind stuff in her tongue abd some ulcers on inner cheek from march. doctors say that it is luekoplakia. they gave her some b complex tabs and betadine for gargle. today she went again to d doc and he sent her for a biopsy. the cancer specialist who saw her said that it is not a cancer and gave her : triamcnolone acetonde oral paste. so my question is is this enough to cure thi disease or some more attention is required?
Mon, 5 Aug 2013
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Pathologist and Microbiologist 's  Response
Hi , is your mom a smoker , chews tabbacco & consumes alcohol ? as these are the most common causes for leukoplakia & may be confused with oral candidiasis or lichen planus. The lesions of leukoplakia cannot be rubbed off which rules out the condition.
Frankly speaking you first need confirmed diagnosis as leukoplakia is a premalignant lesion, i.e. in which cancer is more likely to occur with chance of oral squamous cell carcinoma. Most of oral leukoplakias will not turn malignant, however some hold greater risk than than others. No interventions have been proven to reduce the risk of cancer developing in an area of leukoplakia,but if stop smoking and limit alcohol consumption to reduce her risk. Sometimes the white patch will shrink and eventually disappear after stopping smoking,but this may take up to a year.Management usually involves regular check of the lesion to detect any possible malignant change early.
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General & Family Physician Dr. Ramesh M.Vachharajani's  Response
Hi,
As biopsy is normal, nothing to worry.
Continue with B.complex and local cream.
Do antiseptic gargles.
Keep oral hygiene healthy.
Avoid constipation.
Take more green veggies.
Ok and take care.
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Ulcer In Tongue, Inner Cheek. Leukoplakia. Given B Complex. Is It Cancer?

Hi , is your mom a smoker , chews tabbacco & consumes alcohol ? as these are the most common causes for leukoplakia & may be confused with oral candidiasis or lichen planus. The lesions of leukoplakia cannot be rubbed off which rules out the condition. Frankly speaking you first need confirmed diagnosis as leukoplakia is a premalignant lesion, i.e. in which cancer is more likely to occur with chance of oral squamous cell carcinoma. Most of oral leukoplakias will not turn malignant, however some hold greater risk than than others. No interventions have been proven to reduce the risk of cancer developing in an area of leukoplakia,but if stop smoking and limit alcohol consumption to reduce her risk. Sometimes the white patch will shrink and eventually disappear after stopping smoking,but this may take up to a year.Management usually involves regular check of the lesion to detect any possible malignant change early.