Thread Like Summary
ChrisCQ
Total Likes: 3
Original Post (Thread Starter)
#137014 07/21/2011 3:57 AM
by dj8
dj8
Hi everyone. Recently received biopsy results on left lateral undersurface of tongue. I have an area of leukoplkia which was biopsied. I have a previous diagnosis of hpv on tongue 3 years ago one dr wanted to remove it and on e didnt. Now current results of biopsy are keratinizing severe dysplasis with foci of micoinvasive carcinoma. Very confused and upset. Scheduled to have co2 laser treatment tomorrow to remove area of leukoplakia. I am concerned because there is one small area where there is pain any feedback would be greatly appreciated.
dj8
Liked Replies
#137365 Jul 27th a 08:21 AM
by dj8
dj8
Spoke with ent surgeon today he said that pathologist told him that he felt severe dysplasia and microinvasive carcinoma are the same thing. My surgeon feels that micoinvasive is that. I am confused it appears there are different perspectives out there? The most important thing is that they are treated and that person does well.
1 member likes this
#137015 Jul 21st a 04:36 AM
by Brian Hill
Brian Hill
First of all, what kind of doctor is treating you. Someone that is an oncologist? Your most recent diagnosis says that you have a very early cancer starting. Not some precancerous change (which is what the rest of the surrounding dysplasia is, and as severe will eventually become one), a cancer. Your first diagnosis, makes no sense at all, since a biopsy would go to a pathology lab, and they would determine that is was something specific, like the finding that it was dysplasia, it was hyperplasia, something specific, but HPV is not one of the choices. That would require a secondary testing of the sample by a different kind of lab (the first one was a histopathology lab) that had PCR or in situ hybridization techniques to determine that specific cells had HPV dna in them, and if they did, what strain of HPV it is�. most are not cancer causing.

So a little more information would be helpful. But removal of something with a laser, while it might be OK in a VERY SMALL carcinoma in situ which is where this is headed, leaves out lots of other things I would want to know. It also does not leave anything behind after the procedure since the tissue is vaporized and the removed part cannot be analyzed further . ( An excised portion would have some of the deeper cells and it might be nice to know that those were not involved.) Did they scan you to determine this is all that is going on? Is all this being done in a dental office by chance? Give us a bit more information to work with and perhaps someone here can give you something more specific as an answer.

1 member likes this
#137018 Jul 21st a 05:40 AM
by Cheryld
Cheryld
Ultimately it sound like you should be seeing an oncologist at a cancer hospital. Good luck.
1 member likes this
Top Posters
ChristineB 10,507
davidcpa 8,311
Cheryld 5,260
EzJim 5,260
Brian Hill 4,912
Newest Members
Jina, VintageMel, rahul320, Sean916, Megm37
13,103 Registered Users
Forum Statistics
Forums23
Topics18,168
Posts196,925
Members13,103
Most Online458
Jan 16th, 2020
OCF Awards

Great Nonprofit OCF 2023 Charity Navigator OCF Guidestar Charity OCF

Powered by UBB.threads™ PHP Forum Software 7.7.5