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#175282 12-15-2013 05:00 AM
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Hi all,

I have laser surgery to treat some dysplasia on the side of my tongue in september. The surgery went well, and pathology came back as mild dysplasia with clear margins. From what i undestand the surgeon chose laser to remove the minimum amount of tissue possible. Looking at the wound afterwards, it looked like a burnt crater in the side of my tongue.
Since the surgery i have had developed a fleshy growth on the wound site. Its the same colour as my tongue, and very soft. I saw my surgeon at the end of October for routine follow up, and he described this growth as being a "granulation" and can be a side effect of laser.
The growth is definetly growing larger and its beginning to feel sore.
I have read about granualtion and the description and photos do look what i have.
I was curious if anyone else has had this after laser?

Thanks all


Last edited by newdaduk; 12-15-2013 05:04 AM.

Scc in situ right side of tongue. Partial glossectomy Aug 2011, clear margins.
June 2013 white patch noticed on opposite side tongue.
July 2013 biopsy of white patch completed - mild to moderate dysplasia
September 2013 Laser excison of dysplsia. Mild dysplsia with clear margins
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If memory serves, laser is what they used to remove my tonsil back in September. Later during one of my doctor days during radiation therapy I asked what the surgery site looked like, and the doctor replied granulated.

He said that was normal for my case.

I don't know if this helps, but no one else had responded yet.

take care,
Tony


Tony, 69, non-smoker, aerobatics pilot, bridge player/teacher, avid dancer (ballroom, latin, swing, country)

09/13 SCC, HPV 16, tonsillectomy, T2N0.
11/13 start rads, no chemo
12/13 taste gone, dry mouth,
02/14 hair slowly returning
05/14 taste the same, dry sinuses, irrigation helps.
01/15 food taste about 60% returned, dry sinuses are worse in winter.
12/20 no more sinus problems, taste pretty good

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The laser I have had is to break up the scar tissue on my neck, so I expect it is different, but I have not experienced anything like that.


Tina
Diag: Aug. 13/12
T3N0M0
50% + glossectomy and bilateral radical neck dissection, removal of nodes zones I - V
Surgery October 11/12
Chemo/rad on hold due to clear margins and nodes
Sept 21/13 clear CT with anomaly thought to be the artery, being watched closely.
Dec 16/13 - anomaly confirmed artery, all clear
nickname: "get 'r done"
Plans: kick cancer's butt
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"OCF Canuck"
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Granulation tissue can happen - however getting bigger and more sore? I would err on the side of caution and have it checked out ASAP..


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
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Thanks for your replies everyone.

I have brought my appointment forward to have it looked at. I found something on google.

It describes exactly what i have, and the picture is similar too. With the fact i had a mild dysplasia in pathology, i am pretty sure i would not progress this far in 10 weeks to something as nasty as a large tumour. Although slightly concerned, i am not that worried. I think you get fed up with worrying over things after a while. I certainly have!
It seems like its an intersting read. I'm almost tempted to buy the book!
I will post back in the new year with my consultant outcome. I am expecting surgery to remove it at the least.

All the best

Newdaduk

Last edited by ChristineB; 12-18-2013 06:25 PM. Reason: removed Dr Google link

Scc in situ right side of tongue. Partial glossectomy Aug 2011, clear margins.
June 2013 white patch noticed on opposite side tongue.
July 2013 biopsy of white patch completed - mild to moderate dysplasia
September 2013 Laser excison of dysplsia. Mild dysplsia with clear margins
Joined: Jun 2013
Posts: 7
"OCF across the pond"
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Posts: 7
Just an update for you all.

The growth was benign, and excessive granulation tissue from the laser. This is not uncommon apparently. The Tissue had grown out quite large on what i can only describe as a stalk, which led to a large mushroom shape of flesh. It was removed under a local anasthetic, and literally took 5 minutes. I was back at work the same afternoon.
There is not much information out there with regard to exceesive granulation tissue following laser excisions.
I hope this post helps others.

Newdaduk


Scc in situ right side of tongue. Partial glossectomy Aug 2011, clear margins.
June 2013 white patch noticed on opposite side tongue.
July 2013 biopsy of white patch completed - mild to moderate dysplasia
September 2013 Laser excison of dysplsia. Mild dysplsia with clear margins
Joined: Feb 2012
Posts: 151
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Thankgoodness-for-granuloma's!!!!After-my-husbands-first-laser-surgery-on-his-vocal-cord-he-was-suppose-to-be-scoped-monthly.Being-scheduled-for-a-neck-dissection-I-pushed-for-another-scope-since-it-had-not-been-done-in-2-months-because-of-the-holidays.

What-looked-like-the-cancer-being-back-on-the-monitor-while-being-scoped-thankfully-was-biopsied-during-the-neck-disection-and-determined-to-just-be-a-granuloma.It-then-disappeared-completely-during-radiation.


Husband diagnosed Oct '11 Cancer of the vocal cord Nov '11 removed right vocal cord. Neck Dissection, cancer in one node, .2, very small & contained) Jan '12 Radiation and Cisplatin, 6 doses. June '12 & Dec '12 clear Pet scan. April '13 Celebrating 1 year cancer free since treatment ended.
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"OCF Canuck"
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Yeah....!!!!!


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

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