Can Oral Biopsy Be Done Now? Concerns About Possible Oral Cancer

Oral biopsy examination

Hello Doctor, my last tooth on the right side seems to be discharging pus, and it hasn't improved for six months.
I previously visited a large hospital, and the doctor said it looked fine externally, but I recently noticed it has turned white.
I plan to see a doctor again and would like to ask if, under the current Level 3 restrictions, I can undergo an oral biopsy.
Can the oral biopsy be done immediately? I'm really worried, and is it possible to pay out of pocket for an immediate procedure? If it turns out to be oral cancer, will early treatment lead to disfigurement? Thank you, Doctor.

Mr. Chen, 20~29 year old female. Ask Date: 2021/07/13

Dr. Zheng Jueyi reply Otolaryngology

Hello, if you have dental issues, it is recommended to first visit a dentist to check for cavities or periodontal disease.
Whether an oral biopsy is necessary should be determined by an examination from an otolaryngologist or a dentist.
The possibility of arranging surgery varies by hospital, so it is advisable to call and inquire first.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2021/07/13

More Info

It sounds like you are experiencing significant discomfort and concern regarding your oral health, particularly with the symptoms you've described, such as pus from your molars, persistent white lesions, and the fear of potential oral cancer. It's understandable to feel anxious about these symptoms, especially given the serious nature of oral cancer and its implications.

First and foremost, it is crucial to address your immediate concern about whether an oral biopsy can be performed now. An oral biopsy is a procedure that involves taking a small sample of tissue from the mouth to be examined for abnormalities, including cancer. If you have been experiencing symptoms such as persistent lesions, pus, or changes in the appearance of your oral tissues, it is advisable to seek a consultation with an oral surgeon or an oral pathologist. They can evaluate your symptoms and determine if a biopsy is necessary.

In many cases, a biopsy can be performed relatively quickly, often during an outpatient visit. However, the availability of the procedure may depend on the healthcare facility's protocols, especially in light of any current health guidelines or restrictions (like those related to COVID-19). If you are concerned about delays, you might consider asking about the possibility of self-paying for the procedure, as many clinics offer options for expedited services for patients willing to cover costs out-of-pocket.

Regarding your concern about the potential for oral cancer, early detection is key. If a biopsy reveals cancerous cells, the prognosis is often much better when the disease is caught early. Treatment options may include surgery, radiation, or chemotherapy, depending on the stage and location of the cancer. While there is a possibility of disfigurement depending on the extent of the surgery required, many advancements in surgical techniques and reconstructive options can help minimize cosmetic impacts. Discussing these concerns with your healthcare provider can provide you with a clearer understanding of what to expect.

Additionally, it is important to consider the underlying causes of your symptoms. Chronic infections, such as those that can occur with dental issues, may lead to changes in the oral mucosa and could be mistaken for more serious conditions. Therefore, addressing any dental infections or issues with your dentist is essential. They may recommend treatments such as antibiotics or dental procedures to resolve infections and improve your overall oral health.

In summary, if you are experiencing persistent symptoms in your mouth, it is advisable to seek a consultation with a qualified healthcare professional who can assess your condition and determine the need for a biopsy. Early intervention is crucial, and understanding your options for expedited care can help alleviate some of your anxiety. Remember, you are not alone in this, and there are resources and professionals available to support you through your health concerns.

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