A 39-year-old female was seen in the dental hygiene clinic for a routine cleaning appointment. During the initial exam, the student noticed this white lesion on her posterior buccal gingiva. The patient had first noticed the lesion several months ago. As far as she could tell, there had been no recent changes in size or appearance.
Intra-oral exam revealed a well-demarcated white lesion on the gingiva below the mandibular canines and premolars. The lesion was approximately 15 x 10 mm in size. The lesion was a little non-homogenized in appearance.
 |
| 39-year-old female with leukoplakia |
Based on the appearance, this lesion was diagnosed as leukoplakia. A biopsy of the lesion was recommended. The periodontist performed an incisional biopsy. The pathologist felt that the tissue appeared pre-neoplastic under the microscope. The case was signed out as mild epithelial dysplasia. The patient was scheduled for regular follow-ups to monitor changes in size, texture and appearance. If any of these was detected, a re-biopsy was strongly recommended.
For a detailed discussion on leukoplakia, please see post, The Case of a White Lesion.
Oral Dysplasia:
Dysplasia is usually a difficult concept to grasp for clinicians. The best way to describe dysplasia is as "pre-cancer". It is a phase that the epithelial cells go through before invading the underlying connective tissue. According the extent of epithelial involvement, dysplasia is classified as mild, moderate and severe.
It is important to keep in mind that the criteria according to which oral dysplasia is classified is very different than the rest of the body. Oral dysplasia tends to be a lot more subtle. General pathologists are more familiar with cervical dysplasia and try to enforce a similar criteria for oral dysplasia, this usually results is misdiagnosis and delayed intervention.
For a detailed discussion on leukoplakia, please see post, The Case of a White Lesion.
Oral Dysplasia:
Dysplasia is usually a difficult concept to grasp for clinicians. The best way to describe dysplasia is as "pre-cancer". It is a phase that the epithelial cells go through before invading the underlying connective tissue. According the extent of epithelial involvement, dysplasia is classified as mild, moderate and severe.
It is important to keep in mind that the criteria according to which oral dysplasia is classified is very different than the rest of the body. Oral dysplasia tends to be a lot more subtle. General pathologists are more familiar with cervical dysplasia and try to enforce a similar criteria for oral dysplasia, this usually results is misdiagnosis and delayed intervention.
It is no secret that I have a very deep and personal relationship with God. I have pushed and resisted that relationship this past year through all the bullshit I have had to go through living with Herpes but once again, God is bigger than my stubbornness and broke through that outbreak cold sore and all I had Genital Herpes. For me personally, hearing over and over how I am not good enough has really invaded my mind in the worst way possible. I completely shut down and I was just waking up like is this how life going to end this temporary herpes outbreak “fuck everybody with herpes if you know what I mean” but let's be honest here...
ReplyDeleteIt is a cowardly to say no to herbal medicine. It is fear based. And it is dishonest to what my heart wants. Don't build a wall around yourself because you are afraid of herbals made or taking a bold step especially when it's come to health issues and getting cure. So many young men/ women tell me over and over that Dr Itua is going to scam me but I give him a try to today I feel like no one will ever convince me about herbal medicine I accept Dr Itua herbal medicine because it's cure my herpes just two weeks of drinking it and i have been living for a year and months now I experience outbreak no more, You can contact him if you need his herbal medicine for any such diseases like, Herpes, Schizophrenia,Cancer,Scoliosis,Fibromyalgia,Fluoroquinolone Toxicity Syndrome Fibrodysplasia Ossificans Progressiva.Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,Desmoplastic,Diabetes ,Coeliac disease,Creutzfeldt–Jakob,,Lyme Disease,Epilepsy, ,ALS,Hepatitis,Copd,Parkinson disease.Genetic disease,Fibrodysplasia disease,Fibrodysplasia Ossificans Men/Woman infertility, bowel disease ,Huntington's disease ,Diabetes,Fibroid. disease,Lupus,Lipoid Storage diseases( Gauchers disease),Polycystic Disease.,Cerebral Amyloid Angiopathy, Ataxia,Cirrhosis of Liver,Arthritis,Amyotrophic Lateral Sclerosis,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic,HIV, Epilepsy, Infertility, Love Spell,. Email..drituaherbalcenter@gmail.com then what's app.+2348149277967.... My advice to any sick men/women out there is simple... Be Always an open book. Be gut wrenching honest about yourself, your situation, and what you are all about. Don't hold anything back. Holding back will get you nowhere...maybe a one way ticket to lonelyville and that is NOT somewhere you want to be. So my final truth...and I'm just starting to grasp this one..