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Reappearance of whitish tissue even after removing whitish tissue i reason for epithelial Dysplasia severe?


consulted oral pathologist He says the previous biopsy is from buccal mucosa.but the problem is lower Anterior edentulous ridge hence he took another biopsy.The problem is on the center portion of the lower gum where floating denture is fixed..
Provisional Diagnosis- Leukoplakia
Microscopic features
SEC B-SHOWS HYPERKERATINISED STRATIFIED SQUAMOUS SURFACE EPITHELIUM WITH FEW BULBOUS RETE RIDGES AND AREAS OF FLATTENED EPITHELIAL CONNECTIVE TISSUE.THE ASSOCIATED CONNECTIVE TISSUE IS DENSE EXHIBITING DIFFUSE CHRONIC INFLAMMATORY CELL INFILTRATE AND FOCI OF CALCIFICATIONS. ONE END OF THE TISSUE SECTION SHOWS SEVERE DYSPLASTIC CHANGES-ELONGATED RETE RIDGES, BASILAR HYPERPLASIA KERATIN PEARL FORMATION AND MITOSIS.
DIAGNOSIS-EPETHELIAL DYSPLASIA-SEVERE
COMMENT- THOUGH THERE IS NO EVIDENCE OF FRANK INVASION INE THE SUBMITTED TISSUES IT IS SUGGESTED THAT THE ENTIRE LESION BE EXCISED AND EXAMINED TO RULE OUT MALIGNANCY. EXPLAIN REASONS AND TREATMENT TO BE TAKEN

you need to talk to your dentist and have him explain it all to you. did he not when he examined you? well, he is definatly taking your case seriously and ordering good labs, but you need to tell him he needs to break it down and explain it all a little more clearly to you. this write up says to me that he needs to rule out any possible cancer, and that you do seem to have some issues steming from your dysplasia. hopefully dr. sam will come in here, lol, i haven't been in school for that long, lol! i understand the terms, but i do not want to jump to conclusions as to what your dentist is saying. but yes, your doctor did write up that your dysplasia is severe (4th line from the bottom). I'm not sure exactly what your question for us was, but i hope i helped. good luck and avoid acidic foods and drinks and alcohol and tobbaco :o)

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