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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Have 2 White Patches On My Tongue And Inside Cheek.Is It Leukoplakia Or Lichen Planus ?

Dear Sir, I m from Bangladesh. I used to smoke. But I ve left smoking since 1.5 years. I have 2 white patches on my tongue and inside cheek since last 2 years which are not harden and also not raised. One dentist told me that it is lichen planus and another dentist told me that it is Leukoplakia . I did biopsy 16 months ago which said squamous hyperplastic chronic inflamatory cell found but no malignancy was found. I took konalog in orabse (Triamcinolone Acetonide), Vitamin A (5X50000 = total 250000 IU), Flukonazole. After taking this white patch inside my cheek went out for 2 months. After 2 months it appears again. I ve changed my dentist who extracted one wisdom tooth and giving me same treatment. Now the patch inside cheek has disappeared by 80% by the 5 days while the dose of Vitamin-A was going on. But after completing 5 Vitamin-A capsules, rest 20% of patch is not going away since 1 month. I m too much worried about this. Can you please give me a permanent solution for this problem? Thanks Hasan
posted on Thu, 14 Jul 2011
Twitter Thu, 14 Jul 2011 Answered on
Twitter Fri, 26 Aug 2011 Last reviewed on
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Dentist,  's  Response
Hi,
Smoking and tobacco can result in various precancerous lesions and oral cancer. The lesion should be identified properly by a Specialist in Oral Medicine and Radiology. Meet such a specialist and if required another biopsy would be required to confirm the lesion.
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General & Family Physician,  Dr. Ramesh M.Vachharajani's  Response
Hi,
Thanks for query,
It is the best thing you did is stopped smoking.
if you did not stop this white patch might turned into pre cancerous lesion by this now.
Remaining patch you do not worry,gradually it will subside.
it seems that the patch you got in the chick might have sub mucous fibrosis.
now never start smoking.
Do Feel fresh gargles.
continue the vitamines you take.
ok and bye.
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Dentist,  Dr. Bahaa Jouda's  Response
ok, lichen found bilaterally on the cheek and most frequently as a white network called whickham stria on the other hand Leukoplakia found most frequently in one site and one side such as lateral border of the tongue .
for me i think it is frictional keratosis which result from chronic injury from wisdom teeth so if you remove the cause it will go
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I Have 2 White Patches On My Tongue And Inside Cheek.Is It Leukoplakia Or Lichen Planus ?

Hi, Smoking and tobacco can result in various precancerous lesions and oral cancer. The lesion should be identified properly by a Specialist in Oral Medicine and Radiology. Meet such a specialist and if required another biopsy would be required to confirm the lesion.