Doctor insights on:
Lichen Planus And Oral Cancer
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
I have oral lichen planus. I read a lot about the cancer risk of that. Rote, overall 1-2% and sometimes 0.2% for year. What is the real lifetime risk?
Numbers!: Numbers are numbers, so one has to talk with his primary care doctor or specialist to see what the numbers really mean. A 1-2% risk means... Well, it means 1-2% of the people will get it (one can think of that as a lifetime risk). That means if a person is one of the lucky 98%, he has nothing to worry about (but of course, one can't know for sure that he will be lucky). ...Read more
If the annual risk of cancer from oral lichen planus is about 0.2%, how the lifetime risk is just about 1%...After only 5 years the risk is already 1%?
I'm 27 years old and I have oral lichen planus. What is the risk that its will beacome a cancer someday in my life? The lifetime risk not the annually
Low, but be vigilant: Oral lichen planus will rarely ever evolve into cancer (squamous cell carcinoma). However, it is possible, especially when someone has poorly controlled disease that is chronically active with ulcers and erosions. This is why it is important to find a dermatologists that knows this problem and can help you. Good luck. ...Read more
History of chronic oral lichen planus & peptic ulcers from h pylori starting in 2011. Can lichen planus be in stomach & am I at high risk for cancer?
No: Lichenpkanis is a nuisance illness that does not affect the type of epithelium in the stomach. Helicobactr, however, is both unpleasant and dangerous. Thankfully it's manageable. Best wishes. ...Read more
Huge difference!: Lichen planus is a submucosal inflammatory lesion usually found on the cheeks. Sometimes ulcers can develop, but this represents little more than an irritating rash. Oral hairy leukoplakia is an opportunistic infection by epstein barr virus. This can be linked to steroid use, hiv, or any other condition causing a reduced immune response. ...Read more
New treatments?: Most of lichen planus is non-symptomatic and doesn't need to be treated. If you have painful erosive lichen planus it is usually treated with steroids or anti-inflammatories. Unfortunately, these just treat the symptoms not the disease. Lichen planus is an auto-immune disorder and currently most medical professionals do not have effective tools to treat this problem short of corticosteroids. ...Read more
Lichen Planus: Lichen planus will wax and wane. It is a chronic rash of unknown cause with no cure, may be itchy and poorly understood by medicine. It can be managed with medication both topical and oral. It may resolve on its own. Wish I could help more; see your dermatologist/oral surgeon to manage this disease. ...Read more
Please let me know what is the connection between oral lichen planus and stiff palpable lymph nodes in neck?
Inflamation: Lichen planis is an autoimmune disorder which manifests in inflammatory responses. Your body will react to inflammation by trying to clean up the fluids and cells through your lymph system. The ones in your neck are the pathway, thus stiff nodes. Baylor university has a great clinic and support group that can help you understand this problem. Or see your dentist or dermatologist. ...Read more
There: There are slew of treatments for oral lichen planus. Unfortunately, many doctors are not verse with treating this condition. I have an extra area of expertise with oral diseases including lichen planus and have many patients with this condition. Treatments can range from topical steroids to systemic anti-inflammatories. The other providers in my office with expertise include dr john ebner do, karla horton pac, and michelle cote pac. ...Read more
Oral thrush: With proper medical treatment, most simple thrush infections can be cured in about 7 to 14 days. Most likely the infection may not return as long as you stay healthy and well nourished. See your dentist for evaluation and treatment. There is no treatment for lichen planus. Take care. ...Read more
Oral Lichen Planus: Oral lichen planus is an inflammatory lesion in the mouth usually presenting with a white lacy appearance thought to be an autoimmune response. See the following for more information- http://www. Mayoclinic. Org/diseases-conditions/oral-lichen-planus/basics/definition/con-20028031. ...Read more
Diagnosed with oral lichen planus. Very painful. Normal treatments ineffective. Took cephalexin for another condition. Olp gone for 4 mos. Explain.
Symptom Care Only: Start with a good diagnosis. There are different kinds of lp, some more annoying than others, so make sure your dentist/oral surgeon/ent has a firm diagnosis. There's no treatment unless you're having pain or other symptoms. No preventative measures either. We used to worry about malignant transformation, but that seems unlikely now. Sorry, but there's no good treatment except to relieve symptoms. ...Read more
Several possibile: Oral sex, has become a major cause, due to the hpv virus. Hpv has been spreading oral cancer much more rapidly than in years past. Multiple sex partners has been shown to expand the incidence of probability exponentially. Heavy smoking, heavy drinking and an unhealthy lifestyle are also contributors. ...Read more
Multifocal causes: In addition to heavy use of alcohol and tobacco products, studies have shown that oral sex with multiple partners increases the likelihood of oral cancer due to a papilloma virus. The good news is that the gardisil vaccine can help prevent the spread of the virus and is now routinely recommended and administered to teenagers. ...Read more
Yes but.....: First, why would you? It's simple, harmless and can save your life. Oral cancer is on the rise. Secondly, be aware that we want to offer our patients the best dental care available. A dentist also has the right to not treat patients who refuse what he\she thinks is necessary and appropriate care and oral cancer screening is the standard of care nowadays. ...Read more
Smoking ; drinking: The combination of tobacco and alcohol use is historically the greatest risk factor in developing oral cancer. Use of chewing or smokeless tobacco is also a big risk factor. In recent years, human papilloma virus (hpv: the same virus that causes cervical cancer) is turning out to be a major cause of oral cancer in non-smokers and non-drinkers. ...Read more
Biopsy: The only way to get a definitive answer is by doing a biopsy. This means that the doctor takes a piece of the suspected cancer and has it analyzed by another doctor, called a pathologist. Sometimes the biopsy can be done in the office with a little local anesthetic, and sometimes it needs to be done in the operating room. After that, the doctor may order other tests, such as ct scans. ...Read more
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