Saturday, October 31, 2009

Leukoplakia?

Is leukoplakia is qurable or not??
Answer:
This is a good question. There are two important issues here. Firstly, there are a spectrum of changes in the lining of the throat, mouth or larynx, ranging from dysplasia, to carcinoma in situ, to microinvasive cancer and finally to deeply invasive cancer. All of these can be present in the white lesions that we call leukoplakia. Most of the time, biopsy of a leukoplakia or white lesion of the lining of the mouth, throat or larynx is done by a taking only a small portion of the white area. This means that the pathologist (the doctor who examines the tissue under the microscope) only can see a small portion of the lesion (since most of it is left in the patient). Therefore there could be a precancerous lesion or even a cancer in some other part of the specimen that is still in the patient. So, if the white lesion is entirely removable without causing the patient a significant problem with eating or speaking, then it may be advisable to recommend removing the whole thing so we know exactly what we are dealing with. If the final diagnosis is then benign, the patient should be followed every few months for recurrence and reexcision, which occurs occasionally. If on the other hand cancer is discovered in the lesion, then additional treatment can be recommended at that time. If the white lesion is too big to remove, it may be preferable to remove as much as possible, even with multiple excisions and perform small biopsies on the remaining portions of the lesion. The patient may then be followed closely looking for growth or change.
Treatment
The usual treatment for leukoplakia is to remove the source of the irritation. For most people, stopping smoking or alcohol consumption clears the condition. When this isn't effective or if the lesions show early signs of cancer, your dentist may choose to remove leukoplakic patches using a scalpel, a laser or an extremely cold probe that freezes and destroys cancer cells (cryoprobe).Follow-up is necessary after removal because recurrences are frequent. Doctors consider treatment sites remaining disease-free after three years to have healed.Researchers have investigated the effects of retinoids 鈥?derivatives of vitamin A that are used to treat severe acne and other skin conditions 鈥?on leukoplakia. Although they appear effective against leukoplakia, retinoids may cause side effects, even when used topically. Beta carotene, an antioxidant that's converted to vitamin A in your body, also may completely or partially reduce leukoplakic patches.Some research has also shown that vitamin E (alpha-tocopherol) may shrink the lesions associated with leukoplakia. However, more research is needed.- they say there are meds out there oral and pills...
Hope this helps Maybe you should google it!
Irritation of mouth-thickened of white patches on gum,inside cheek or tongue which can be removed,curable

1 comment:

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