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Excision Biopsy Showed Ployriod With High-grade Dysplasia. How To Prevent It From Developing Cancer?

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Posted on Thu, 11 Apr 2013
Question: Dear doctors,
I underwent excision biospy on my right vocal cord 2 weeks ago. the diagnosis report says: ployriod with high-grade dysplasia. My doctor said will do follow up check 3 months later. my question is : what can be done at this stage to reduce the possibility of transformation into cancer
doctor
Answered by Dr. A.K. Srivastava (1 hour later)
Hello

Thanks for writing to H.C.M. for tour query.

I have gone through through your query regarding excisinal biopsy from right vocal cord for polypoidal growth which is reported as high grade dysplasia, and you are interesred what to do to prevent from developing cancer.

Here I would like to say that your surgeon had removed the entire polypoidal growth ( Excisional Biopsy ) and ,it means the entire tissue having high grade dysplasia is being removed therefore now the only strict vigilance by regular examination at three monthly interval is the best way for vigilant activity or if any how voice alters than your ENT specialist should be consulted as soon as possible.

In the vigilance these are the alarming signs-

(a) Cough for more than a week.

(b) If sputum is having blood.

(c) Change in voice.

(d) Difficulty in breathing.

Thus if any of above symptoms appear you should immidiately consult your ENT specialist to take early action for excillent results.

I hope your query is explained.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. A.K. Srivastava (3 hours later)
Dear Doctor,

thanks for your answer! I have uploaded the full diagnosis report and can you review it?
My concern is whether the Excisional Biopsy has cleared entire tissue having high grade dysplasia or not. do I need second surgery to cut more surrounding tissue to make sure that all tissue having high grade dysplasia is cleared?

sorry for giving you so many questions. I am so scared by the result.

Regards and have a nice day!
XXXXXX
doctor
Answered by Dr. A.K. Srivastava (4 hours later)
Hello

Welcome again in H.C.M.for clarification of your doubt.

XXXXXX

Excisional biopsy means your all extra tissue have been removed so there is no need for second surgery.Your report is also indicating benign nature of excised so no quistion for further medication.

I hope complete job had been done and you will recover soon.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. A.K. Srivastava

ENT Specialist

Practicing since :1984

Answered : 1975 Questions

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Excision Biopsy Showed Ployriod With High-grade Dysplasia. How To Prevent It From Developing Cancer?

Hello

Thanks for writing to H.C.M. for tour query.

I have gone through through your query regarding excisinal biopsy from right vocal cord for polypoidal growth which is reported as high grade dysplasia, and you are interesred what to do to prevent from developing cancer.

Here I would like to say that your surgeon had removed the entire polypoidal growth ( Excisional Biopsy ) and ,it means the entire tissue having high grade dysplasia is being removed therefore now the only strict vigilance by regular examination at three monthly interval is the best way for vigilant activity or if any how voice alters than your ENT specialist should be consulted as soon as possible.

In the vigilance these are the alarming signs-

(a) Cough for more than a week.

(b) If sputum is having blood.

(c) Change in voice.

(d) Difficulty in breathing.

Thus if any of above symptoms appear you should immidiately consult your ENT specialist to take early action for excillent results.

I hope your query is explained.

Regards.