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Oral Cancer

Peace of mind?

07/30/2008 04:32PM

Question:

I am 39 yrs old male and about 8 years ago i noticed a pea sized swelling on my sublingual salvary gland. I was worried so went to have it checked, even though i thought it was related to eating sunflower seeds.

I went to a Maxiofascial doctor and he could not find anything unusual and then to an ENT x 2. They did an exams as well. Xrays were taken by The Maxio and did somekind of test to make sure i did not have a salvary stone.

HISTORY: The swelling occurred after habitually eating sunflower seeds for several months as my job required a lot of drive time. The area effected was immediately below where i "crunch" the shell of the seed to eat it.

I am wondering with the seed usage, shell puncture? and then my probing, along w/ the doctors, if the what i feel now is normal. The swelling went down from original pea size to a small B.B. size. It is near the front of my mouth on the bottom. There is no pain or other symptomology. I am wondering if this is scar tissue that was built up for the "incident". There has been no change for 8 years but after reading about an article about a person with salivary cancer, i began to worry again. I don`t smoke and chewed tobacco of and on when i was younger but have not touched tobacco for over 10 years.

Answer:

It sounds like you have undergone multiple evaluations by multiple qualified specialists. I do not know if I can add anything further about the cause of this, but in general, since this occurred 8 years ago and has improved and is stable, this would typically suggest a benign process. If you are concerned, periodic evaluations by the specialists you mentioned is reasonable to monitor for change over time and any further recommendations.

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Response by:

The Ohio State University Amit Agrawal, MD
Assistant Professor of Surgery
Division of Head & Neck Surgery
Department of Otolaryngology
College of Medicine
The Ohio State University
Amit  Agrawal, MD