Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered.
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leukoplakia ?
Mar 8, 2000
Dear Doctor Reznik
A small lump has appeared on the upper inner lining of my lip. The small lump is painless and has whitish tissue in the core. The lesion swells up for a week before it ruptures. It has been appearing at the same place since last Christmas. The outer diameter is a reddish circle. I had been to a Otorhinolaryngologist who has failed to diagnose it to my satisfaction. The biopsy results state that the lesion is benign.
I did some research on my own and I am afraid that the symptoms match those of leukoplakia. Do you think I should have it examined by a specialist ?
My doctor has prescribed Zovirax.
I would appreciate any kind advise.
Thanks
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Response from Dr. Reznik
What you describe does not sound like leukoplakia, which normally would appear as a white rough area, not a bump. It is a bit difficult to tell exactly where you "bump" is from this question, but a biopsy should have shown herpes virus if present, which is what Zovirax is effective against. Herpetic outbreaks can begin as fluid filled vesicles that break open leaving a crusted area. Since this is not what you have described, I would suggest you visit one of the following: an oral surgeon who can re-biopsy the area, or a dentist who is experienced in oral medicine or oral pathology. A dentist with expertise in this area would be better suited to diagnose a problem in the mouth.
Let me know if I can be of further assistance.
DR
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