Clinical-pathological characterization of Oral Lichen Planus and Oral Lichenoid Lesions
Oral Lichen Planus (OLP) and Oral Lichenoid Lesions (OLL) present similar clinical and histopathological manifestations, but differ in their aetiology. Taking into account previous research and the current available bibliography, there are no studies that use current classification criteria for thes...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/26020 |
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I10-R327-article-26020 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
histopathology oral lichen planus oral lichenoid lesions histopatología liquen plano oral lesiones liquenoides orales |
| spellingShingle |
histopathology oral lichen planus oral lichenoid lesions histopatología liquen plano oral lesiones liquenoides orales Tomasi, RA Mazzotta, MM Ferreyra de Prato, RS Dionisio de Cabalier, ME Clinical-pathological characterization of Oral Lichen Planus and Oral Lichenoid Lesions |
| topic_facet |
histopathology oral lichen planus oral lichenoid lesions histopatología liquen plano oral lesiones liquenoides orales |
| author |
Tomasi, RA Mazzotta, MM Ferreyra de Prato, RS Dionisio de Cabalier, ME |
| author_facet |
Tomasi, RA Mazzotta, MM Ferreyra de Prato, RS Dionisio de Cabalier, ME |
| author_sort |
Tomasi, RA |
| title |
Clinical-pathological characterization of Oral Lichen Planus and Oral Lichenoid Lesions |
| title_short |
Clinical-pathological characterization of Oral Lichen Planus and Oral Lichenoid Lesions |
| title_full |
Clinical-pathological characterization of Oral Lichen Planus and Oral Lichenoid Lesions |
| title_fullStr |
Clinical-pathological characterization of Oral Lichen Planus and Oral Lichenoid Lesions |
| title_full_unstemmed |
Clinical-pathological characterization of Oral Lichen Planus and Oral Lichenoid Lesions |
| title_sort |
clinical-pathological characterization of oral lichen planus and oral lichenoid lesions |
| description |
Oral Lichen Planus (OLP) and Oral Lichenoid Lesions (OLL) present similar clinical and histopathological manifestations, but differ in their aetiology. Taking into account previous research and the current available bibliography, there are no studies that use current classification criteria for these pathologies. The purpose of this study was to analyse the clinical and histopathological characteristics in cases diagnosed as OLP and OLL.
The study was retrospective, observational and descriptive in 170 biopsies of patients between 2000 and 2017 received in the Laboratory of Pathological Anatomy and analyzed in the Chair of Pathological Anatomy of the Faculty of Dentistry and National Hospital of Clinics - UNC diagnosed with criteria of Van der Waal-Van der Meij (VW-VM). Descriptive statistics were used.
95 cases were diagnosed as OLP and 75 as OLL (121 women and 49 men, mean age 55.5 years). The most frequent location in both pathologies was the jugal mucosa (OLP: 38.9% and OLL: 45.3%). Within the histopathological characteristics found in relation to the classification of VW-WM in OLL, 83.3% epithelial dysplasia (ED) and inflammatory infiltrate in band (IN), 19.2% liquefaction degeneration (LD) and 17.9% apoptotic bodies of civatte (AC) presented while 16.7% did not present ED. In OLP 100% for LD and IN, and 0% for ED while 83% did not present AC.
The predominantly observed histopathological characteristics coincide with the VW-VM criteria for the diagnosis of each entity. Our study has similar results in the cases of OLP with the work of Albornoz et.al, where they found the most frequent clinical location to the jugal mucosa and tongue while the histopathological results were almost similar in the percentage of LD (95%), ED (0%). In the current oral pathology, it is necessary to classify OLP and OLL using the Van der Waal-Van der Meij criteria as they involve defining aspects: clinical for OLP (network form and bilaterality) and histopathological (absence of ED, presence of LD and lymphocyte infiltrate in band). Those lesions that do not meet these criteria should be diagnosed as OLL, thus avoiding diagnostic errors. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/26020 |
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I10-R327-article-260202024-08-27T18:26:41Z Clinical-pathological characterization of Oral Lichen Planus and Oral Lichenoid Lesions Caracterización clínico-patológica de Liquen Plano Oral y Lesiones Liquenoides Orales Tomasi, RA Mazzotta, MM Ferreyra de Prato, RS Dionisio de Cabalier, ME histopathology oral lichen planus oral lichenoid lesions histopatología liquen plano oral lesiones liquenoides orales Oral Lichen Planus (OLP) and Oral Lichenoid Lesions (OLL) present similar clinical and histopathological manifestations, but differ in their aetiology. Taking into account previous research and the current available bibliography, there are no studies that use current classification criteria for these pathologies. The purpose of this study was to analyse the clinical and histopathological characteristics in cases diagnosed as OLP and OLL. The study was retrospective, observational and descriptive in 170 biopsies of patients between 2000 and 2017 received in the Laboratory of Pathological Anatomy and analyzed in the Chair of Pathological Anatomy of the Faculty of Dentistry and National Hospital of Clinics - UNC diagnosed with criteria of Van der Waal-Van der Meij (VW-VM). Descriptive statistics were used. 95 cases were diagnosed as OLP and 75 as OLL (121 women and 49 men, mean age 55.5 years). The most frequent location in both pathologies was the jugal mucosa (OLP: 38.9% and OLL: 45.3%). Within the histopathological characteristics found in relation to the classification of VW-WM in OLL, 83.3% epithelial dysplasia (ED) and inflammatory infiltrate in band (IN), 19.2% liquefaction degeneration (LD) and 17.9% apoptotic bodies of civatte (AC) presented while 16.7% did not present ED. In OLP 100% for LD and IN, and 0% for ED while 83% did not present AC. The predominantly observed histopathological characteristics coincide with the VW-VM criteria for the diagnosis of each entity. Our study has similar results in the cases of OLP with the work of Albornoz et.al, where they found the most frequent clinical location to the jugal mucosa and tongue while the histopathological results were almost similar in the percentage of LD (95%), ED (0%). In the current oral pathology, it is necessary to classify OLP and OLL using the Van der Waal-Van der Meij criteria as they involve defining aspects: clinical for OLP (network form and bilaterality) and histopathological (absence of ED, presence of LD and lymphocyte infiltrate in band). Those lesions that do not meet these criteria should be diagnosed as OLL, thus avoiding diagnostic errors. Líquenes Planos Orales (LPO) y Lesiones Liquenoides Orales (LLO) presentan manifestaciones clínicas e histopatológicas muy similares pero difieren en su etiología. Teniendo en cuenta investigaciones previas y la bibliografía actual disponible, no hay estudios que utilicen criterios actuales de clasificación para dichas patologías. El objetivo del presente estudio fue analizar las características clínicas e histopatológicas en casos diagnosticados como LPO y LLO. El estudio fue de tipo retrospectivo, observacional y descriptivo en 170 biopsias de pacientes entre los años 2000 a 2017 recibidas en el Laboratorio de Anatomía Patológica y analizadas en la cátedras de Anatomía Patológica de la Facultad de Odontología y Hospital Nacional de Clínicas- UNC diagnosticadas con criterios de Van der Waal-Van der Meij (VW-VM). Se utilizó estadística descriptiva. Se diagnosticaron 95 casos como LPO y 75 como LLO (121 mujeres y 49 hombres, edad media de 55.5 años). La ubicación más frecuente en ambas patologías fue la mucosa yugal (LPO: 38,9% y LLO: 45,3%). Dentro de las características histopatológicos encontradas con relación a la clasificación de VW-WM en las LLO se presentó en el 83,3% displasia epitelial (DE) e infiltrado inflamatorio en banda (IN), 19,2% degeneración hidrópica (DH) y 17,9% cuerpos apoptóticos de civatte (CA) mientras que el 16,7% no presentó DE. En LPO el 100% para DH e IN y 0% para DE mientras que el 83% no presentaba CA. Las características histopatológicas predominantemente observadas coinciden con los criterios VW-VM para el diagnóstico de cada entidad. Nuestro estudio tiene resultados similares en los casos de LPO con el trabajo de Albornoz et.al, donde encontraron como localización clínica más frecuentes a la mucosa yugal y lengua mientras que los resultados histopatológicos fueron casi similares en el porcentaje de DH (95%), DE (0%). En la patología oral actual, es necesario clasificar al LPO y LLO utilizando los criterios de Van der Waal-Van der Meij ya que involucran aspectos definitorios: clínicos para LPO (la forma de red y bilateralidad) e histopatológicos (ausencia de DE, presencia de DH e infiltrado linfocitario en banda). Aquellas lesiones que no cumplen con estos criterios deben ser diagnosticadas como LLO, evitando así errores diagnósticos Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/26020 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 10.31053/1853.0605.v76.nSuplemento spa https://revistas.unc.edu.ar/index.php/med/article/view/26020/27885 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |