Brown spot inner cheek.

[teodorovkristian]

35M. former smoker. I have oral lichen planus and
rheumatoid arthritis. For about a month now. I've hac
a brown spot on the inside of my cheek. It doesn't
hurt. doesn't bleed, and hasn't ulcerated - it's just
there. I have a doctor's appointment scheduled, but
it's not until next month. Has anyone experienced
something similar?

 

[Dr M]

Best option would be to see an oral surgeon. The lesion might need to be biopsied, with full margins and sent away for testing, just to make sure it is nothing sinister. Especially with your other issues and smoking history taken into consideration.

 

[MattKW]

Doesn't look sinister at all, and I wouldn't panic. Very unlikely to bother with a biopsy, most likely a variation in skin pigmentation. Just point it out at the next visit. I see that you appear to have a mild lichenoid reaction (arrowed in attachment). Often methotrexate as used for RA can cause some mouth reactions.

 

[teodorovkristian]

Doesn't look sinister at all, and I wouldn't panic. Very unlikely to bother with a biopsy, most likely a variation in skin pigmentation. Just point it out at the next visit. I see that you appear to have a mild lichenoid reaction (arrowed in attachment). Often methotrexate as used for RA can cause some mouth reactions.

Hey, thanks for the reply. I’ll update you after I’ve had the doctor’s appointment.

 

[Dr M]

Please note, that if if the lesion changes at all,even if it remains painless, still consider a consult with an oral surgeon. Any enlargement needs to be investigated, to rule out a potentially malignant disorder. I am not saying to get surgery unnecessary, but it is good to be aware of what is happening in your mouth.