Ask a Dentist. Get Answers to Your Dental Questions.
If you can send me a picture or two I'll take a look at it for you. Dr. Hegland.
One picture came through, I'll wait for the other ones.
You might want to I can only look at one image at this point and I'm not sure if it was the 4 days ago or 5 minutes ago one.
Alright, well I looked at your pictures they did all come through when you sent separately. From looking at the lesion, yes the general classification is leukoplakia. However, I would believe that the most likely condition is that this is an irritation based lesion. I say that because you've had it more than once in approximately the same area of the tongue. The irritant could be a variety of things, so that is difficult to determine unless you start tracking this yourself when they occur. As far as the verrucous leukoplakia you are referring to a proliferative form that does need to be monitor because it can turn precancerous from HPV 16/18. So to answer your contagious question, well as you may have heard HPV is pretty prevalent and can be acquired from contact with individuals that carry the virus. If it were my mouth, I would ask my dentist to have the area biopsied. It's super easy to numb tongue and take a segment of that leukoplakia and have the histology run so that you can sleep at night knowing it's origin. You've also noticed that when it recurs it is slightly larger each time, and with that awareness I would elect to biopsy for confirmation. Lesions like this are 95% of the time innocent, but if its easy to check it out for sure I'd ask your dentist for further work up on it. Does that answer your question?
Ok so you have had HIV test, but HPV is different. I'll refer you to CDC in regards ***** ***** http://www.cdc.gov/hpv/ Leukoplakia is more common with smokers, but there are various other factors that can cause leukoplakia. However, a complete diagnosis on the type of leukoplakia can only be given with a biopsy. As you have already researched that hairy leukoplakia often does occur on the side of the tongue. Wart looking (verrucous) leukoplakias, can be caused by HPV. So as far as spreading your tongue lesion, no that will not happen. However, if you do have HPV that can be transmitted. That's something to talk to your physician about testing for (blood test). The 5% I'm referring to is when the verrucous is proliferative form- that is PRE cancerous and needs to be monitored for changes. So again, have it biopsied.
Well now that you taking note of occurrence that as well would make me recommend that you have HPV test with your med doctor. Only a few forms of HPV are problematic, but if you've had partners that have it (even in remission) might want to find out. Yes, proliferative is a potentially cancerous form of verrucous leukoplakia (like a subtype). From CDC website-
"You can get HPV by having vaginal, anal, or oral sex with someone who has the virus. It is most commonly spread during vaginal or anal sex. HPV can be passed even when an infected person has no signs or symptoms.
Anyone who is sexually active can get HPV, even if you have had sex with only one person. You also can develop symptoms years after you have sex with someone who is infected making it hard to know when you first became infected." Hopefully that makes sense to you now.
No problem at all, if you need any other assistance please let me know and if you can rate your experience it is helpful for quality assurance protocol. Have good evening. Dr Hegland
Proliferative Verrucous Leukoplakia is a definitive diagnosis whereas verrucous (wart-like) leukoplakia is essentially a differential diagnosis (description). When you are told you have a verrucous leukoplakia its not a diagnosis its a objective finding, whereas the proliferative is definitive and identified histologically. It's complicated to explain unless you've been clinically trained in taking exam notes and making diagnosis. So I don't have a site for you to look that up at, it's more clinical lingo is all.
Did that clarification answer your question? If so have good evening.
No problem, if you can conclude our question session by rating now that is all. Good evening