Bryan - you mentioned your small lump not being painful. I would not minimize this, as Oral Cancer is not always painful when it occurs. My son kept putting off seeing an ENT and only did so when the lump under his tongue became very painful and the doctor told him the pain was due to the OC being wrapped around a nerve. I sure hope for you that it turns out to be nothing, but in any case you would be doing yourself a tremendous favor and prolonging your life by giving up the tobacco in any form.