Dentistry/Tongue

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Question
Hi,
I also have had this lump inside my tongue about an inch from the tip. It looks pretty normally from the outside but you can feel a hard lump. As far as I know it's been there for about 6 months is when I or at noticed it. It may have been there forever I am not to sure. It hasn't changed as far as I know either. I had a biopsy done a month ago on some persistent swollen neck lymph nodes which came back benign for cancer. There just showed benign reactive lymph nodes. I have pointed this lump out to both my dentist and my ent and both don't think it's anything to worry about. My ent said given its location on the tongue a biopsy would be extremely painful. He also said normally cancer doesn't present inside the tongue like this. I wonder if I Gould seek another opinion or insist on a biopsy or just let it go? It's not painful at all just a hard pea sized bump inside the tip of my tongue. I have inclined a pic so you can tell where it's at. The tissue looks pretty normal.

I am pointing to the spot

http://i1209.photobucket.com/albums/cc393/kkingery83/E18A39F5-5CF4-4435-992C-D48


http://i1209.photobucket.com/albums/cc393/kkingery83/99732BBF-C60D-4349-BB4E-935

Answer
Hi Kim

It is always your right and perogative to seek out a second or further opinions if you are not satisfied with the diagnosis.  I would suggest that you find a clinician whom you do trust, to save yourself all the effort and worry that comes along with distrusting the results as they are given to you. This would also save yourself considerable money and limit the unnecessary harm to your body, which could have been circumvented had you had full faith in the hands which are treating you. It is impossible and dangerous for me to give you a definitive diagnosis of a lesion based solely on a 2D image, in the absence of clinical signs and symptoms. 2 Treating clinicians already gave the all clear, which should give you some peace of mind and I cannot give you any other information about this or contradict their diagnosis based on what you have told me - this would be unethical and unprofessional, not to mention nearly impossible.  That is not how modern medicine is suppose to be practiced.  I hope you understand my reasoning.

Kind regards
Craig

Dentistry

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Dr Craig W Peck ( B.Med.Sc., B.Ch.D., Clin. Botox, Cosmet. Derm.)

Expertise

I am a General Dental Practitioner, with special interests in Cosmetic Dentistry & facial aesthetics and Periodontology, placing a strong emphasis on the establishment and maintenance of a healthy periodontium (the support structure of the tooth) before cosmetic options are considered. I uphold all principles of prevention above interventional treatment and try as far as possible, to remain conservative in my approach. I believe in detailed, open and honest patient discussion, establishing what the patients expectations are and what the reality is of achieving this and involving the patient at every level of the treatment. I have strong principles on ethical treatment and appropriate patient management. I have chosen to treat and rehabilitate many nervous and phobic patients, who, for whatever reason, find it impossible to take part in the very important task of even a routine check-up. I will accept questions relating to general and cosmetic dentistry (in conjunction with the use of facial cosmetic procedures) and dental fears/phobias. I will be more than willing to answer any academic questions in dentistry, biology, physiology, psychology and health sciences in general. As most dentists will tell you, there is often not only one way of dealing with a dental issue - so very often, there is no precise right and wrong way of approaching the problem. All clinicians vary when it comes to treatments and what works best in their hands is often the treatment that is advised. Be understanding of this and bear in mind that nothing lasts forever! Patients are happy to accept only a one-years warrantee when buying a new car, but seem to expect that dental work is going to last them their lifetime.

Experience

I have worked for many years in the UK and RSA as a general dental practitioner - within the NHS, private practice and the government dental health services. I am certificated for the administration of Botox and Dermal Fillers for facial lines and wrinkles as I have attended further courses in minimally invasive facial cosmetic procedures. I started seeing an increasing number of patients who presented with severe to moderate dental fears, even with full-blown phobias, so I started with the slow and patient task of tackling this problem and have successfully rehabilitated many patients. The key is good, effective, concise and understandable communication, shifting control from the dentist to the patient in order to slowly, but confidently, regain their trust back in dentistry, thereby giving them the feeling of achievement and this self-empowerment which drives them to the next level of treatment.

Organizations
Academy of General Dentistry. American Dental Education Association. IAPAM (International Association for Physicians in Aesthetic Medicine). Professional Speakers, Writers and Managements Consultants in Dentistry. The British Dental Association. UK Aesthetics Group. ARC - Aesthetic Professionals. Botox. Aesthetics & Beauty. American Association for Dental Research. FDI - World Dental Federation. SOURCE1uk. World Dental Hygiene Forum. ProDentalCPD. Public Health Dentistry. Dentist Network. LinkedIn. Who's Who of South Africa.

Education/Credentials
B.Med.Sc. Degree (Medical Physiology and Medical Virology; Physiology Cum Laude; Stell 1994). B.Ch.D. Degree (Bachelor of Dental Surgery; Clinical Dentistry Cum Laude; Stell 1997). CPR and CPR-Advanced Courses (2000/2001; UK). Clinical Botox (UK, 2001). Cosmetic Dermatology (Botox and Dermal Fillers; RSA 2011).

Awards and Honors
Placed on the Dean's List at University for academic achievement (1994). Highest achievement in the subject Dental Materials. Medal from 3M and the Radiology Association of South Africa for highest achievement in the subject Dental Radiology and Imaging. Medal from The Periodontal Association of South Africa for highest achievement in the subject Periodontology. Highest achievement for Oral Medicine. Highest achievement in Oral Pathology. Received the DASA (Dental Ass. of South Africa) Gold Medal for highest achieving dental student across the 5 1/2 years of the Degree. Passed the subject, Clinical Dentistry with distinction in final year.

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