Unusual Bumps Inside Cheeks: Should You Worry About Oral Cancer?

The inner walls of both cheeks feel strange?

Hello, doctor.
A year ago, I had my wisdom teeth removed, and since then, I've noticed that the inside of my mouth and cheeks feels somewhat rough, as if small particles have formed.
The clinic doctor said it was due to poor immunity and that it would improve naturally over time.
However, it has been a year, and it still feels the same, and it seems to be gradually spreading.
I don't smoke or drink alcohol, but I often stay up late.
Recently, due to SARS, I have been hesitant to seek treatment at large hospitals.
Could this be a sign of oral cancer? Thank you.

ai ya, 20~29 year old female. Ask Date: 2003/05/20

Dr. Lin Qingye reply Dentistry

Hello, in addition to visual and tactile examinations during an oral examination, other auxiliary tests may be necessary, and in some cases, an oral pathology biopsy may be required to confirm the diagnosis.
Due to insufficient information provided (for example: any other medical history, oral occlusion status, family history of diseases, etc.), we hope that when you feel in good health, you will come to our clinic for a consultation.
We will provide you with satisfactory answers.
Thank you!

Reply Date: 2003/05/20

More Info

When it comes to unusual bumps or lesions inside the cheeks, it is understandable to be concerned about the possibility of oral cancer, especially given your history of dental procedures and the persistence of your symptoms. While I cannot provide a definitive diagnosis, I can offer some insights based on your description and general medical knowledge.

Firstly, the presence of bumps or rough patches in the oral cavity can be attributed to various causes, including benign conditions such as fibromas, mucoceles, or irritation from dental appliances or habits (like cheek biting). In your case, since you mentioned that these bumps have persisted for a year and seem to be gradually spreading, it is essential to consider a thorough evaluation by a healthcare professional.

Oral cancer typically presents with specific symptoms, including persistent sores that do not heal, lumps or thickening in the cheek, white or red patches in the mouth, and difficulty swallowing or chewing. The fact that you have not experienced any of these more alarming symptoms is somewhat reassuring. However, the duration and changes in your symptoms warrant further investigation.

Your mention of a weakened immune system could also play a role in the development of oral lesions. Chronic irritation, whether from dental issues or lifestyle factors such as poor sleep habits, can lead to changes in the oral mucosa. Stress and lack of sleep can weaken the immune response, making the oral cavity more susceptible to infections or other conditions.

Given the ongoing nature of your symptoms, I recommend seeking a professional evaluation as soon as possible. While you may have concerns about visiting a large hospital due to the current health climate, many healthcare providers are offering telehealth consultations, which can be a safe and effective way to discuss your symptoms and receive guidance on the next steps.

In addition to a physical examination, your healthcare provider may suggest a biopsy of the affected area to rule out any malignant changes. This procedure is typically straightforward and can provide valuable information about the nature of the lesions.

Lastly, it is crucial to maintain good oral hygiene and avoid any irritants that could exacerbate your symptoms. Staying hydrated, eating a balanced diet, and managing stress through relaxation techniques can also support your overall health and potentially improve your oral condition.

In summary, while the bumps in your cheeks may not necessarily indicate oral cancer, their persistence and gradual change should not be ignored. A thorough evaluation by a healthcare professional is essential to determine the cause and appropriate treatment. Early detection and intervention are key in managing any potential oral health issues effectively.

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