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Assembling a consensus on actinic cheilitis: A Delphi study.

Juan Seoane¹, Saman Warnakulasuriya², José Vicente Bagán³

¹Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela, Spain.

Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology

|May 17, 2021

Summary

Actinic cheilitis (AC) is a potentially malignant disorder. Consensus was reached on AC nomenclature and management, but diagnostic criteria require further clarification.

Keywords:

Delphi study actinic cheilitis consensus potentially malignant oral disorder

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Area of Science:

Dermatology
Oral Medicine
Oncology

Background:

Actinic cheilitis (AC) is a common condition affecting the lips, often associated with chronic sun exposure.
Its classification and management have been subjects of debate due to varying diagnostic criteria and potential for malignant transformation.

Purpose of the Study:

To establish a consensus on the terminology, classification, diagnosis, and treatment of actinic cheilitis (AC).
To address the lack of agreement on diagnostic procedures and biopsy indications for AC.

Main Methods:

A two-round Delphi study was conducted with experts.
A questionnaire assessed terminology, malignant potential, diagnosis, and treatment of AC using closed and open-ended questions.
Expert agreement was measured using a Likert scale.

Main Results:

Consensus was achieved on 73.5% of statements regarding AC terminology, classification, and management.
Actinic cheilitis (AC) is agreed upon as the preferred term and classified as a 'potentially malignant disorder'.
While experts consider AC a clinical diagnosis, histopathological confirmation is deemed mandatory for management.

Conclusions:

Actinic cheilitis (AC) is a potentially malignant disorder, with consensus reached on its nomenclature and management.
Significant disagreement persists regarding diagnostic criteria, biopsy indications, and assisting techniques for AC.
Further research and standardized guidelines are needed to improve diagnostic consistency for AC.