| Joined: May 2012 Posts: 13 "OCF across the pond" Member | OP "OCF across the pond" Member Joined: May 2012 Posts: 13 | I've been having recurring mouth ulcers for four months which take on average 3 weeks to heal. My dentist referred me to a mouth surgeon who did xray of jaw which was fine. He also did bloods which were fine. Said he couldn't find anything to biopsy and referred me on to an Oral Medicine Specialist with query "Burning Mouth Syndrome". I'm sure I don't have that, I read up on it, and my problems are nothing like it. Current situation is that the ulcers have cleared up but left behind a tiny patch in my gum which is incredibly painful if touched, it's just under one of my back teeth, and makes the tooth ache as well. My dentist x-rayed the teeth there and they are fine. I don't really know what to do. This pain is unbearable, but the dentist and the surgeon have signed me off, with my history (see signature) I am worried this might be another cancer, the problem and pain has been there for upwards of three months now, it just does not go away. I could see the oral medicine specialist but he is a long way away and my insurance will only pay for the consult, not any tests, which I would not be able to afford. I suppose what I need to know is, could this be an oral cancer?
Breast Cancer 2002 +2006, Triple Neg., Chemo, Rads, Mx Morpheus Basal Cell Carcinoma on nose 2006 Possible cancer in gum
| | | | Joined: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,260 Likes: 3 | Have that specific area biopsied. I welcomed you in the newbie forum, as well. don't wait find someone who will listen and do something! And good luck!
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: May 2012 Posts: 13 "OCF across the pond" Member | OP "OCF across the pond" Member Joined: May 2012 Posts: 13 | Thanks Cheryl. I suppose I knew to do that but was sort of just constantly hoping it would go away, which it hasn't.
Breast Cancer 2002 +2006, Triple Neg., Chemo, Rads, Mx Morpheus Basal Cell Carcinoma on nose 2006 Possible cancer in gum
| | | | Joined: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,260 Likes: 3 | Anything that stays in mouth for more than a month should be examined by someone who knows oral cancer, be it an ENT, or Oral surgeon. You should make sure they have experience with OC as well. Some ENTs make an awesome living doing tonsils and tubes in the ears. It should be someone who has dealt with and knows OC. Good luck. And I'm not sure of your age, they some times tend to poo poo the possibility of OC in someone young or someone who doesn't smoke, drink etc... but these days it's anyone's game - anyone can get it it so if you have something going on in your mouth it should be examined closely, biopsied if it doesn't heal, then monitored if it comes back dysplasia.
Good luck
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Feb 2011 Posts: 117 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: Feb 2011 Posts: 117 | Hi Griffin, please take Cheryl's advice and get it checked/biopsied by an experienced ENT...I think both Cheryl and I had been mis-diagnosed for several months...these cancers tend to grow fast. I would make an appt. ASAP so you can find out for sure. hope it turns out to be nothing !
DX 12/6/10 of T3 SCC Tongue. Surgery 1/3/11 was hemigloss & forearm free flap, midline mandibulectomy, Neck Disection-All nodes clear. Ended rads 5/11/11. Taste buds back to about 80%. PEG removed 4/5/12, experimenting eating real food again. If I can do this, so can you !! Stay Strong.
| | | | Joined: May 2012 Posts: 13 "OCF across the pond" Member | OP "OCF across the pond" Member Joined: May 2012 Posts: 13 | Thanks Ingrid and Cheryl. I have just organised another consult with the Oral Surgeon I saw before. I feel a bit anxious about it as he said it was Burning Tongue, which I am sure it isn't. I can see an ulcer like patch in the gum where it has been hurting for three months and also where my dentist said I had a huge ulcer. I don't know why the Oral Surgeon did not see this last time I saw him, as it was there then, but I think he was focused on looking for another patch on the side of my tongue which cleared up between my dentist writing to him about it and my actually getting to see him. I am worried that this current really painful patch which I can see and has been there for a good three months will suddenly clear up just when I am due to see him next week. I suppose it would be good if it did clear up but if he then can't see it I know I am not going to feel happy about it given it would have been there so long. Is this how mis-diagnosis happens? I know I was quite upset when he said I had Burning Tongue when my symptoms are quite different to that.
To answer your question, I am 61 years old. I have been in very poor health since my original cancer - I never really recovered from the extensive treatment I had. Then cancer on my nose was mis-diagnosed and I ended up with a lot having to be chopped out and the skin graft is bright red as they took it from behind my ear. My breast recon is tiny compared to my ok real breast, same surgeon, I don't know why he made it so small. All in all, I look a real mess, although that does not matter much as I hardly ever go anywhere (except hospitals) due to all my health problems.
Last edited by Griffin; 05-29-2012 11:47 AM.
Breast Cancer 2002 +2006, Triple Neg., Chemo, Rads, Mx Morpheus Basal Cell Carcinoma on nose 2006 Possible cancer in gum
| | | | Joined: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,260 Likes: 3 | Diet! Sorry I had to throw that out there,.. I truly beiieve if you want to heal and help your body through treatment eating the right foods is key. This will help you get your strength back and hopefully you won't get another dx of cancer. Treatment for any cancer can damage the body - proper nutrients and a balanced diet will help boost your immune system, and cell integrity. I hope your oral surgeon listens to you if not get to a good ENT. And I fully believe we tend to be more critical of ourselves, I'm sure you're beautiful
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Griffin, any sore in your mouth that has been there for over 2 to 3 weeks needs to be checked by a professional who is experienced with oral cancer. Oral cancer isnt something that comes and goes and often it does not cause pain. My original tumors looked like a canker sore and was there for weeks without much change. Some ENTs specialize in putting tubes in children's ears and some oral surgeons do primarily wisdom teeth extractions and implants. Finding the proper professional is the key to finding out what is going on in your mouth.
Best wishes! ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | Joined: May 2012 Posts: 13 "OCF across the pond" Member | OP "OCF across the pond" Member Joined: May 2012 Posts: 13 | Hi Cheryl, yes diet is always important. I have had mitochondrial tests and have cell damage and this was diagnosed by a doctor who also advises on nutrition and other similar aspects.
Christine, I think the oral surgeon I saw, and will see next week, does the right kind of work. He was recommended. I think he failed to look in the right place because when I saw him there was nothing to single out the particular problem that has persisted from all the other ulcers. If I have any doubts after I see him next week, I will seek a second opinion. Thanks for your advice.
Breast Cancer 2002 +2006, Triple Neg., Chemo, Rads, Mx Morpheus Basal Cell Carcinoma on nose 2006 Possible cancer in gum
| | | | Joined: May 2012 Posts: 13 "OCF across the pond" Member | OP "OCF across the pond" Member Joined: May 2012 Posts: 13 | Finally saw the mouth surgeon again today. At last he examined the right area. There is a lesion on the gum beside what he "thinks" maybe a shard of bone that has pierced the gum. Except this happens after (in my case would be wisdom teeth ) extractions and soon after and it is 30+ years since I had the extractions.
Upshot of all this anyway is that he is going to do a biopsy and gum flap (which means cutting the gum to expose the bone and shaving off the sharp bit, if that is what he finds.).
I don't know if he is biopsying the gum, the bone, or both........ I had so many questions I forgot to ask that one.
As far as I'm concerned, I am none the wiser, except it seems to me he could find anything. It could be Breast Cancer mets or new cancer(s), in the gum and/or the bone, or it could be very delayed reaction to wisdom tooth extraction 30 years ago, or it may be something else entirely. I'm just glad someone is now taking some action.
He seems to think the bone is ok from his x-rays. I don't see how he can tell else why does one have to have bone scans to look for breast cancer bone mets? There's a lot I don't understand at present.
So now I am waiting for a date for the exploration, then it'll be the usual wait for results. I am having it under GA as I can't stand the pain already, let alone being cut into right where it hurts.
Any advice gratefully received.
Breast Cancer 2002 +2006, Triple Neg., Chemo, Rads, Mx Morpheus Basal Cell Carcinoma on nose 2006 Possible cancer in gum
| | |
Forums23 Topics18,170 Posts196,933 Members13,105 | Most Online458 Jan 16th, 2020 | | | |