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re occuring bump
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Posted
Hello, Since Nov. I have ben getting a bump on the right side of my mouth once a week. On the soft palate right above where my wisdom teeth would be. It is almost 99% triggered by food, either spicy or salty food. It is always in the exact same location. My dentist did a brush biopsy of it and it came back negative. I do have acid reflux and everytime I go to my ENT specialist it's never there, but he does not seem to be concerned about it.
Does anybody know what this could be? I think it's always there, it just gets flared up whenever I eat or my acid reflux is acting up. Also I guess me constantly checking to see if it's there with my tounge, probably doesnt help LOL.

thank you
 
Posts: 8 | Location: USA | Registered: 05 April 2007Reply With QuoteReport This Post
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quote:
Originally posted by RevSherm:
well another ENT specialist, he diagnosed it as a blocked salivatory gland. He said that it's always there but when I eat certain things it flares up and I notice it. I've just started feeling around for it with my tounge, he said to stop that LOL. He is removing it next friday.

I was a little concerned because I used chewing tobacco(stupid, I know), and recently quit.

I have a question for Dr. J, as I stated my dentist did a brush biposy and it came back negative. How reliable are the brush biopsys?

thank you
 
Posts: 8 | Location: USA | Registered: 05 April 2007Reply With QuoteReport This Post
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Hello RevShem

Your question:
quote:
I have a question for Dr. J, as I stated my dentist did a brush biposy and it came back negative. How reliable are the brush biopsys?


The answer:
from The sensitivity and specificity of the OralCDx technique: evaluation of 103 cases in Oral Oncology, Volume 40, Issue 8, Pages 824-828 (September 2004:
quote:
Overall, the sensitivity of the OralCDx technique to detect dysplasia and OSCC was 92.3% (95% CI: 74.9–99.1%), and the specificity was 94.3% (95% CI: 86.0–98.4%). The positive likelihood ratio (LR+) was 16.2 (95% CI: 6.2–42.1) and the negative likelihood ratio (LR−) was 0.08 (95% CI: 0.02–0.31). In conclusion, these figures are in agreement with previously published data and support the use of OralCDx as a screening tool of oral lesions, but further trials are still necessary.


So, the OralCDx technique meets all basic criteria for a diagnostic test of clinically benign appearing oral lesions. Well used, it is accurate. However, the use of any diagnostic test of these lesions is dependent on the dentists actually being able to identify eligible lesions.

The traditional and most reliable method of detection of mouth cancers remain the visual, tactile, and radiographic examination of the mouth, lips, and the regional lymph nodes. A microscopic examination of a properly obtained and properly prepared biopsy specimen is the only reliable laboratory technique of diagnosing oral cancer.

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: 3748 | Location: St Luke's Hospital, Bradford and Pinderfields Hospital, Wakefield | Registered: 14 December 2002Reply With QuoteReport This Post
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Thank you

neither my dentist or my ENT doctor seemed concerned about it being cancerous. But like I said with my history of taobacco use, it frightened me. I've been dealing with it since Nov. it's always the same size and it goes back down after a day.
 
Posts: 8 | Location: USA | Registered: 05 April 2007Reply With QuoteReport This Post
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Dr. J

I had it removed by my ENT specialist...it came back benign..negative..no indication of cancer. He insisted it was a blocked minor gland and wouldnt return...well...it did..in the exact same spot after the wound healed. i can scrape it with my finger and pop it....probably not a good idea. but the thing is so annoying...not painful...but like having a seed stuck to the roof of my mouth.

I had a brush biopsy and a surgical biopsy done...both came back negative. So I know it's not cancer...Do you have any idea what it could be? So I could bring it up to my doctor..or should I not worry about it?

thank you
 
Posts: 8 | Location: USA | Registered: 05 April 2007Reply With QuoteReport This Post
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