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Lichen planus: exploring its malignant potential

V Moncarz1, M Ulmansky, J Lustmann

  • 1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Toronto, Ontario, Canada.

Journal of the American Dental Association (1939)
|March 1, 1993
PubMed
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Oral Lichen Planus (LP) can transform into oral cancer. This study highlights proliferative changes in oral LP, particularly in women, emphasizing the need for regular clinical monitoring and early treatment to prevent progression.

Area of Science:

  • Oral pathology
  • Dermatology
  • Oncology

Background:

  • Oral Lichen Planus (LP) is an inflammatory condition affecting the oral mucosa.
  • It can manifest in various oral locations, with cheeks, tongue, and gingiva being most common.
  • A potential malignant transformation of oral LP to oral cancer exists.

Purpose of the Study:

  • To investigate the proliferative epithelial changes in oral LP.
  • To assess the association between oral LP and oral cancer development.
  • To identify any demographic predispositions, such as gender.

Main Methods:

  • Retrospective analysis of eight cases with oral LP.
  • Histopathological examination to identify epithelial changes.
  • Clinical follow-up to monitor disease progression.

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Main Results:

  • Observed proliferative epithelial changes ranging from verrucous hyperplasia to squamous cell carcinoma in oral LP cases.
  • Identified a higher predisposition of oral LP in women.
  • Documented the common oral sites affected by LP.

Conclusions:

  • Oral LP can exhibit malignant potential, progressing to verrucous or squamous cell carcinoma.
  • Close monitoring of oral LP patients, especially women, is crucial.
  • Regular clinical surveillance at 3-6 month intervals and prompt treatment are recommended for early resolution and prevention of malignant transformation.