Dear Andjela, a pre-malignant state means that some of the cells
present have already started showing signs of change but do not show all the
characteristics of malignancy (cancer). The doctor also stated that a final
decision regarding malignancy will be taken following on surgery during which a
biopsy (a small piece of tissue) will be sent to the laboratory for diagnosis.
You did not mention what pre-malignancy the doctor was referring to – so it is
difficult to say whether smoking maybe directly contributed to the problem.
However, smoking is bad and is a proven cause of morbidity and mortality. But
whatever you do, please do not confront your mother with reference to her
smoking. This will only create feelings of guilt and contribute to her stress.
Rather provide her every opportunity to kick the habit and support her in her
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