Thanks Christine!

The surgeon said the bump was no big deal, but wanted to do a scrape test to see if I had HPV. That was the only test he did, which came up positive for HPV 22. After I got the results, he told me that he wasnt going to do anything. That didnt sit well with me so I pressed and he finally said that he would cut it out to "ease my mind".

I took you advice this morning and made an appointment with a ENT cancer specialist at a top rated school out here, but sadly I wont be able to see him until the 18th. I already told their switchboard that I was specifically looking for a biopsy and gave them the entire history of the issue. The worst part now is waiting even longer for a result. I feel terrible because the wife and I are on a vacation and I can't seem to have any fun or enjoy this time.

Also, I think you're right about the Vaping. I've quit before and I can do it again. I got tricked by the "safe alternative" but from what I understand any irritant can cause Leukoplakia and it wouldnt shock me if vaping did too.

P.S. Sorry for posting the images, I wasn't sure if it was allowed or not.