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White Patch At Back Of Throat, Geographical Tongue. Is It Lichen Or Leukoplakia?

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Posted on Wed, 12 Sep 2012
Question: hi
i have a white patch at the back of my throat been to my gp two different gps they said its nothing but i can see it, last year i was diagnosed with geographical tongue, I'm worried incase its lichen or leukoplikia, my two doctors did not seam concerned at all its been there 5 weeks now, i went see my gp again the other day and said its nothing don't worry
doctor
Answered by Dr. Geeta Sundar (21 minutes later)
Hi XXXXXXX
Thanks for posting your query.
I understand your concern. I have seen the image but a visual examination cannot help us arrive at a conclusive diagnosis.
The only way of definitely knowing whether its leukoplakia,lichen planus or just a manifestation of geographical tongue is through a punch biopsy.
I would suggest that you consult an otorhinolaryngologist who can examine the lesion and do a punch biopsy, if required. You can also request for one so that you can definitively know what is going on.
I would be available for any follow up queries.
I hope I have answered your query. Please accept my answer if you have no further follow up queries.
Regards.

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Geeta Sundar (4 hours later)
hi what does it look like to you? does it look like leukoplakia?it is completely flat not raised, is luekoloika and lichen raised? mine is totally flat
doctor
Answered by Dr. Geeta Sundar (11 hours later)
Hi XXXXXXX

Thanks for following up.

I really cannot say for sure what I think without a visual examination. It needs a detailed careful examination.

Leukoplakia and lichen planus are raised but in very early stages they are flat.

I hope, I have answered your query. Please accept my answer if you have no further follow up queries.

Wish you good health.

Regards.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Jyoti Patil
doctor
Answered by
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Dr. Geeta Sundar

Internal Medicine Specialist

Practicing since :1975

Answered : 1329 Questions

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White Patch At Back Of Throat, Geographical Tongue. Is It Lichen Or Leukoplakia?

Hi XXXXXXX
Thanks for posting your query.
I understand your concern. I have seen the image but a visual examination cannot help us arrive at a conclusive diagnosis.
The only way of definitely knowing whether its leukoplakia,lichen planus or just a manifestation of geographical tongue is through a punch biopsy.
I would suggest that you consult an otorhinolaryngologist who can examine the lesion and do a punch biopsy, if required. You can also request for one so that you can definitively know what is going on.
I would be available for any follow up queries.
I hope I have answered your query. Please accept my answer if you have no further follow up queries.
Regards.