Oral Surg Oral Med Oral Pathol. Sep;60(3) Lichenoid dysplasia: a distinct histopathologic entity. Krutchkoff DJ, Eisenberg E. We have observed. Citation. M Virdi, A Sachdev, A Gupta, K Aggarwal. Lichen Planus Or Lichenoid Dysplasia: Is It Premalignant!. The Internet Journal of Head and Neck Surgery. We have observed, both in the literature and in practice, that pathologists frequently fail to appreciate subtle dysplastic features in lesions with lichenoid.

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Progress in understanding its malignant potential and the implications for clinical management. Author information Article notes Copyright and License information Disclaimer. Confounding variables such as smoking, which may have prognostic implications, should be taken into consideration.

Quantitative cytology can detect both cytoplasmic and nuclear changes in oral lichen.

Classification of oral lichenoid lesions [11] Click here to view. Scully C, el-Kom M.

Oral lichen planus versus epithelial dysplasia: difficulties in diagnosis

Spinous cell maximum diameter has also increased from normal mucosa to OLP to oral sq cell carcinoma. Current dysplzsia in oral lichen planus. Statistically significant differences were noted and the results obtained may have a value in predicting their behavior. Unilateral plaque type oral lichenoid lesion on the lateral border of tongue representing oral lichenoid dysplasia Click here to view. Immune activation and chronic inflammation as the cause of malignancy in oral lichen planus: J Dermatol Surg Oncol ; Published online May 1.


Increased nuclear-cytoplasmic ratio was also the most frequently encountered disorder in epithelial dysplasia, together with cell and nucleus pleomorphism, seen in After correlating the lichfnoid findings with the histological features, a final diagnosis of lichenoid dysplasia was made.

Open in a separate window. Histopathological diagnosis of oral lichen planus is not easy since some cases of epithelial dysplasia may present traits which are very similar to those from lichen planus. Van der Meij and Van der Waal 17 wrote well about such difficulty. Cancer and oral lichen planus in a Swedish population.

Lichenoid Dysplasia‚ÄďA Case Report with a Review of Differential Diagnosis

A history of drug usage in the recent past helps in making the clinical diagnosis. Risk of oral squamous cell carcinoma in patients with oral lichen planus: Keywords dysplastic lesion, lichenoid dysplasia, morphometry and image analysis.

dysllasia Lichenoid Dysplasia LD is often regarded as lichen planus with dysplastic features, as it mimics lichen planus clinically and histologically. This disease could be easily mistaken for lichen planus and presents true potential to evolve to malignancy. Additionally, other conditions may present clinical and histopathology characteristics similar to oral lichen planus such as lichenoid reactions, lupus erythematosus, leukoplakia, erythroleukoplakia, and proliferative verrucous leukoplakia.

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Eisenberg argued that this initial misdiagnosis could explain why a benign condition such as OLP is considered by some to be dyssplasia 2.

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Materials and Methods Normal epithelium was obtained from patients undergoing extraction for impacted third molar with no sign of inflammation or any other pathology. How to cite this article: Lichenoid reaction associated with amalgam or other dental restorations can be differentiated clinically on the basis of its unilateral presentation and its topographical relation with the lichrnoid restoration.

J Oral Maxillofac Surg. Morphometric analysis of suprabasal cells in OLP showed increase in cell size when compared to other white lesions. J Clin Pathol ; Find articles by Mihir Jha.

Is a recall of patients justified? Clinical features and management. Clinically, such lesions are usually unilateral and have a predilection for vermillion area, palate and buccal mucosa.

Differential diagnosis and treatment of ulcerative, erosive and vesiculobullous lesions of the oral mucosa. Confounding licheoid such as smoking were taken into consideration while diagnosing 8.