With respect to many good general MD's in the world. They do not know very much about oral cancers, and do not routinely screen for them. Most openly admit that they have never seen a patient with oral cancer. So here you are again asking the same people you asked the last time ( who I told you did not have answers for you at this time, perhaps they could help more IF and WHEN you are an unfortunate member of the cancer club) and you see a doctor who is not a specialist in this kind of problem. What about "see an ENT head and neck cancer specialist" which you have be told here over and over again do you not get? WE ARE NOT DIAGNOSTICIANS!!! WE ARE PATIENTS AND CANCER SURVIVORS NOT DOCTORS. I am sorry to be so blunt, and perhaps you think rude, but honestly I don't now what you expect from the people here when you ask the same questions we do not have the answers to over and over.