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Posted
Hello guys.I am a 20 year old male and have been smoking for 7 months now.I noticed a pale white patch on the roof of my mouth today.When i drank water i felt a sharp pain down my throat as if something was stuck.I went to my doctor who dismissed it as cancer.

That stopped for a week but i felt the same thing yesterday but my doctor said was due to the sore throat.

So far,i've seen 2 doctors who dismissed it as oral cancer but a dentist said 'its very unlikely to be anything dangerous but you sld get a biopsy' but my 2 doctors said there was no need at all.

Today,i saw a pale white lesion on the inside of my left cheek and i have some pain there too.

i took some pictures of my mouth.

For the first picture: At the back of my throat,there seem to be small red spots.anything unsual about those?

For the second picture:Above my finger,i have a small red pimple like thing.

The link is :

http://s193.photobucket.com/albums/z173/anfieldroad_2007

I am just worried about the white patch.
Pls advice as i am very worried. Frowner
 
Posts: 7 | Location: Singapore | Registered: 15 June 2008Reply With QuoteReport This Post
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Hello anfieldheroez

The first picture has a white appearance in the midline back of the soft palate caused by the flash reflection, otherwise there is nothing that looks like a cancer. The other shows a pinpoint whitish lesion in the cheek that could be caused by cheek biting. A whitish appearance in the oral tissues can be caused by smoking. I hope you have stopped smoking. It doesn't look worrying but discuss your fears with your doctor. Hope that helps.



Best wishes
Vinod Coffee


Disclaimer: Please see your own dentist/doctor for a proper diagnosis as my words should not, in any circumstances, be taken as dental/medical advice.

"If you see what is small as it sees itself, and accept what is weak for what strength it has, and use what is dim for the light it gives, then all will go well. This is called Acting Naturally."
Lao-Tsu, Tao Teh King
 
Posts: 3778 | Location: St Luke's Hospital, Bradford and Pinderfields Hospital, Wakefield | Registered: 14 December 2002Reply With QuoteReport This Post
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Dear Dr Vinod,thank you very much for replying to my question.

For the first picture,there is a whitish color in the middle,is that normal? I believe the one caused by the flash is more towards the bottom.

Right now in my left cheek,there seems to be a white lesion,perhaps diameter 1cm or less.

What are the signs normally for oral cancer?

Thank you so much sir.
 
Posts: 7 | Location: Singapore | Registered: 15 June 2008Reply With QuoteReport This Post
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Hi guys,now i seem to have another problem.I have an earache in my right ear and i read it on the net that its a symptom as well?

The pain is not persistent and only lasts for a few seconds.Yesterday my left ear was blocked to wax buildup and i had that removed and it was fine after that.But my right ear has just had slight pains,maybe 8-10 times per day.

Can someone pls tell me more about the earache that is associated with oral cancer?

Thank you
 
Posts: 7 | Location: Singapore | Registered: 15 June 2008Reply With QuoteReport This Post
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Hi

Referred pain can be absolutely excruciating; to me it felt like a knitting needle or letter opener had been shoved into my ear--none of the doctors I saw noticed anything extraordinary in either ear, so that ruled out any kind of infection. Has your doctor seen any lesions or tumors on your tongue? Have you had a biopsy?

I had this referred pain within about 2 months of the onset of the lesion under my tongue. The meds I was given did jack $#!+ to relieve it; not until I woke up after a hemiglossectomy and resection did my ear not hurt.

As for the actual cause of referred pain, I'm sure Dr Joshi is the go-to guy.

Julia


Howdilly doodilly, survivorinos!
 
Posts: 828 | Location: Hollywood on the Huron | Registered: 15 February 2008Reply With QuoteReport This Post
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from Management of Head and Neck Cancer
quote:
Patients with early-stage cancer have a much greater chance of cure than patients with advanced cancer. Therefore, it is prudent that clinicians listen to their patients' complaints, maintain a high index of suspicion, and do a thorough head and neck examination so that these patients can be diagnosed as early as possible. This is especially important because many of the involved sites are not easily visualized and many tumors do not present until quite advanced. An astute clinician may decide on further investigation for complaints that may initially appear quite mild. The signs and symptoms of patients with head and neck cancer vary according to the site of the lesion and the extent (or stage) of the disease.

Patients with oral cancer can present with a nonhealing mouth ulcer or swelling, trismus and pain. Ipsilateral (same side) ear pain is not uncommon. This is a referred pain due to the dual innervation of the aerodigestive tract and ear by the vagus and glossopharyngeal nerves. A normal ear exam, in a smoker with unilateral ear pain, should include a thorough examination of the aerodigestive tract.

Patients with nasopharyngeal cancer present with nasal discharge and nasal congestion. Due to the proximity of the nasopharynx to the eustachian tube, patients may also present with eustachian tube dysfunction and otitis media. Large tumors can affect the cranial nerves causing diplopia (CN III and IV), facial pain (CN V) and Horner's syndrome (sympathetic chain). Cancers of the hypopharynx and oropharynx are often silent and usually present late. Symptoms include sore throat, trismus, otalgia, hemoptysis and dysphagia.


Disclaimer: Please see your own dentist/doctor for a proper diagnosis as my words should not, in any circumstances, be taken as dental/medical advice.

"If you see what is small as it sees itself, and accept what is weak for what strength it has, and use what is dim for the light it gives, then all will go well. This is called Acting Naturally."
Lao-Tsu, Tao Teh King
 
Posts: 3778 | Location: St Luke's Hospital, Bradford and Pinderfields Hospital, Wakefield | Registered: 14 December 2002Reply With QuoteReport This Post
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I have not had a biopsy because my 2 doctors have been telling me its not cancer but on the other hand,the small pale white patch on my inner cheek has me worried.

I have a question.How does the white patch that means its oral cancer feel like and look like? I have smth that is very pale white and the texture is nt different from the cheek as well.

When i stretch my cheek the whiteness is gone and the cheek color is normal pink then.

Is it related to oral cancer?
 
Posts: 7 | Location: Singapore | Registered: 15 June 2008Reply With QuoteReport This Post
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  • (1) It is not possible to make a diagnosis over the Internet. Only your doctors can give you a diagnosis.
  • (2) Have a look at: "Quick Clinical Reference Chart for Visual Inspection of the Oral Cavity to Detect Precancerous Lesions and Invasive Cancer": download chart here.
  • (3) If the whiteness disappears upon stretching, it is a very superficial change and unlikely to be related to cancer. This milky appearance is commonly seen in smokers.


My question: Are you still smoking?


Disclaimer: Please see your own dentist/doctor for a proper diagnosis as my words should not, in any circumstances, be taken as dental/medical advice.

"If you see what is small as it sees itself, and accept what is weak for what strength it has, and use what is dim for the light it gives, then all will go well. This is called Acting Naturally."
Lao-Tsu, Tao Teh King
 
Posts: 3778 | Location: St Luke's Hospital, Bradford and Pinderfields Hospital, Wakefield | Registered: 14 December 2002Reply With QuoteReport This Post
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Hi Dr Joshi

Thanks for the info on referred pain. I'm glad I didn't know more about it before my surgery--I'd have been more scared than I already was.

It's my fervent hope that anfieldheroez' response to your question is yes, absolutely.

Julia


Howdilly doodilly, survivorinos!
 
Posts: 828 | Location: Hollywood on the Huron | Registered: 15 February 2008Reply With QuoteReport This Post
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Thanks guys for your replies.I do smoke still unfortunately,however i am joining a counselling session next week onwards to help quit smoking and i hope that can help me out.

I do have cut down from a packet a day to half a packet and i think i can stop completely and with the support of my family and friends i hope i can do that.

But is neck pain a symptom as well?
 
Posts: 7 | Location: Singapore | Registered: 15 June 2008Reply With QuoteReport This Post
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Hello anfieldheroez

I will answer your neck pain question after you stop smoking Wink

Let me know when you have stopped. Smiler

Best wishes
Vinod Coffee


Disclaimer: Please see your own dentist/doctor for a proper diagnosis as my words should not, in any circumstances, be taken as dental/medical advice.

"If you see what is small as it sees itself, and accept what is weak for what strength it has, and use what is dim for the light it gives, then all will go well. This is called Acting Naturally."
Lao-Tsu, Tao Teh King
 
Posts: 3778 | Location: St Luke's Hospital, Bradford and Pinderfields Hospital, Wakefield | Registered: 14 December 2002Reply With QuoteReport This Post
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Hello Dr. Joshi,ive stoppe for 5 days now,never smoked a single stick.

Basically,i feel better but everytime i look for oral cancer symptoms on the net,i start worrying again.For example,the net says that a white patch is not really good but my white patch disappears upon stretching the cheek.

But i have had a very bad sore throat and the problem is that the symptoms all appear then slowly go away but not before they stress me up.

Dr Joshi,can you pls explain some of the symtoms in detail? Like how the white patch is like when it appears,do you lose weight unexpectedly and any thing else that you feel its important.

Thank you so so much.
 
Posts: 7 | Location: Singapore | Registered: 15 June 2008Reply With QuoteReport This Post
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Anfieldheroez - You're probably worrying unnecessarily, after all, you've already visited the local GP - but if you really want peace of mind insist that your doctor makes an appointment at SGH.
The professionals there helped me with my tonsil cancer and certainly know what they are doing.
Good to hear that you've stopped smoking - that's a good start.
 
Posts: 75 | Location: Holland | Registered: 06 July 2006Reply With QuoteReport This Post
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