Precancerous Lesion

A precancerous lesion is a condition of having a collection of cells in the body organs that may appear the same as cancer cells. But these do not have similar properties to cancer cells. The common precancerous lesions are oral leukoplakia, oral submucous fibrosis, and erythroplakia.

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I have pain in my penis with a scar. What is the cause?

Query: Hi doctor, After testing positive for celiac disease, I had an EGD and biopsy three weeks ago. The pathology report stated that I had marked acute and chronic inflammation with severe reactive epithelial changes including villus blunting and gastric metaplasia. I was negative for H. pylori as I was ...  Read Full »

Dr. Parth R Goswami

Answer: Hi, Welcome to Here according to your history, you were positive for gluten disease. So, you might have done tissue transglutaminase antibody testing. It is very sensitive for that and then, a biopsy for confirmation. In histopathology report, villous blunting present but intra-epithel...  Read Full »

There is a whitish spot on the lateral surface of the tongue. Does it indicate a precancerous lesion?

Query: Hi doctor,I have a whitish spot on the lateral side of the tongue for the past six days. I have attached my photo. It does not come off during brushing but I have pain in it while brushing. I do not have pain while eating but my tongue seems to be sore. My lymph nodes are normal. I am worried. I wan...  Read Full »

Dr. Mohammad Emranul Islam

Answer: Hi, Welcome to Kindly share some more information. Please mention whether you have done any dental treatment recently. Please mention the condition of the tooth on that side. Please mention whether you have any sharp tooth or broken tooth, any injury on the tongue. Please mention whet...  Read Full »

Is bleeding after sex a concerning issue?

Query: Hello doctor,I want to ask an obstetrician regarding my slight bleed after having contact with my partner. Please advise.  Read Full »

Dr. Deepali Raina

Answer: Hi, Welcome to This is called post-coital bleeding. This is always a matter of slight concern. It may usually be due to local vaginal infection, but occasionally it may happen due to pre-cancerous lesions in the cervix. I will be able to answer better if I can know your cervical ...  Read Full »

Can EMR and ESD clear gastric polyp, or is surgery needed?

Query: Hi doctor, I have a history of hematemesis, and the endoscopy revealed gastric polyps. Three different biopsies show hyperplastic polyp with mild to moderate dysplasia, for resection. Can EMR or ESD clear them or only surgery like distal gastrectomy can be done? An endoscopic picture is available.  Read Full »

Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to Well, I doubt if it is hyperplastic polyps that are showing dysplasia. Since hyperplastic polyps are purely benign polyps of the stomach, they do not need resection. And biopsy to be done only to confirm hyperplastic polyps. Kindly upload the endoscopic picture and h...  Read Full »

What is your opinion regarding my wife's colon polyp?

Query: Hi doctor, My wife has been detected to have a 1.5 cm sessile polyp in descending colon in colonoscopy. One doctor said that there is nothing to be worried as it is harmless and the other says just opposite. Please give your opinion.  Read Full »

Dr. Sadaf Mustafa

Answer: Hello, Welcome to Before I answer your question, can you please kindly share some more information. Is this the only polyp detected? Does she have a family history of colon cancer? Did she have any bleeding or it was a screening colonoscopy? Is this her first colonoscopy? If no, then w...  Read Full »

Please suggest treatment for a whitish mark on the inner cheek.

Query: Hi doctor, I have a whitish mark on the inner cheek. I am also experiencing pain in the wisdom tooth. I used to eat betel nuts, but now I have stopped it. How to get this treated?  Read Full »

Dr. Nupur Prashant Shah

Answer: Hi, Welcome to I can understand your concern regarding to dental health. In such case, I would like to tell you that these are precancerous lesions of white lines on buccal mucosa due to the habit of chewing betel nuts. It can be OSMF (oral submucus fibrosis - rigid jaw and muscles and ...  Read Full »

I Have A Red Dot On My Penis Head. Could It Be Herpes?

Query: Hello doctor, I had a UTI two years ago that went untreated which resulted in the problem. I now have a permanent red dot on the head of my penis. No pain, bump or itching has ever come from the said dot. It has not increased in size in over a year. I have been using Kermatazole on the penis head f...  Read Full »

Dr. Ruth Agustin

Answer: Hello, Welcome to I understand that you are greatly concerned about having early genital herpes. Both of your HSV IgG tests are negative since their values are less than 0.9. More accurate tests to determine primary HSV infection include HSV culture and HSV polymerase chain reaction (PC...  Read Full »

I consume gutkha and now I have burning sensation with white patch in mouth. Why?

Query: Hi doctor, I am 34 years old, male. I am eating gutkha for the past 12 years and now I have found a white patch in my mouth and I consulted an ENT. He suggested me 10 days course of one Asbex tablet and one cream for the white patch. I am using it for 10 days and now the white patch is slowly disap...  Read Full »

Dr. Tooba Qazi

Answer: Hi, Welcome to Keep applying that gel for two weeks more. Avoid spicy food for one month. You have to take less spicy food for your entire life if you want to stay away from cancer. That's the bad news for you that you are experiencing the first few symptoms of oral cancer that is bur...  Read Full »

Is it mandatory to have LEEP surgery in CIN1?

Query: Hi doctor, Is it necessary to have a LEEP surgery in CIN1?  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to I have gone through the attached reports (attachment removed to protect patient identity). Your results showed cervicitis with metaplasia and suspected CIN1 (cervical intraepithelial neoplasia). In a colposcopy, it should be discussed in detail. It needs treatment soon....  Read Full »

I have a hard lump in my mouth. Do I require biopsy?

Query: Hello doctor, I have a hard lump in my mouth since yesterday. There is very little pain, but I am freaking out about this because I used to chew tobacco and smoke for three years but clean since last one year. So, please, can you confirm if I require a biopsy?  Read Full »

Dr. Asma Parveen

Answer: Hello, Welcome to I understand your concern since it is a hard lump. But, since you are saying that it is just one day old, it cannot be a chronic problem. Any form of oral cancer or precancerous condition takes some time to show. I would like to ask a few questions: Are you sure it jus...  Read Full »

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