Lichenoid dysplasia- report of 2 cases and review of literature

Oral lichen planus (OLP) and oral lichenoid lesions (OLL) have an annual malignant transformation rate of 0.5–2.1%. Lichenoid dysplasia (LD) appears clinically similar to OLP, OLL but histologically harbors atypical cells for which it has a greater potential for malignant transformation. The case re...

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Main Author: Shiladitya Sil
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=7;spage=3733;epage=3736;aulast=Sil
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author Shiladitya Sil
author_facet Shiladitya Sil
author_sort Shiladitya Sil
collection DOAJ
description Oral lichen planus (OLP) and oral lichenoid lesions (OLL) have an annual malignant transformation rate of 0.5–2.1%. Lichenoid dysplasia (LD) appears clinically similar to OLP, OLL but histologically harbors atypical cells for which it has a greater potential for malignant transformation. The case reports of two female patients are reported here, which were clinically diagnosed as OLP, later as LD following histopathological confirmation. Both had positive tobacco history and extensive intra-oral lesions. Habit cessation was supplemented by non-steroidal therapeutics with periodic follow-up. There was reduction in the burning sensation, lesion size, and the degree of inflammation of the lesions. Clinical lichenoid like features warrants a biopsy to rule out OLP, OLL from LD. Except for palliation, lesion oriented proper therapeutic treatment should be instituted only after histopathological confirmation.
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spelling doaj.art-b59ae31b3c9e4c958c24ccf811c5b50d2022-12-21T18:13:02ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-01973733373610.4103/jfmpc.jfmpc_507_20Lichenoid dysplasia- report of 2 cases and review of literatureShiladitya SilOral lichen planus (OLP) and oral lichenoid lesions (OLL) have an annual malignant transformation rate of 0.5–2.1%. Lichenoid dysplasia (LD) appears clinically similar to OLP, OLL but histologically harbors atypical cells for which it has a greater potential for malignant transformation. The case reports of two female patients are reported here, which were clinically diagnosed as OLP, later as LD following histopathological confirmation. Both had positive tobacco history and extensive intra-oral lesions. Habit cessation was supplemented by non-steroidal therapeutics with periodic follow-up. There was reduction in the burning sensation, lesion size, and the degree of inflammation of the lesions. Clinical lichenoid like features warrants a biopsy to rule out OLP, OLL from LD. Except for palliation, lesion oriented proper therapeutic treatment should be instituted only after histopathological confirmation.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=7;spage=3733;epage=3736;aulast=Sillichenoid dysplasialichenoid lesionslichen planusoral epithelial dysplasia
spellingShingle Shiladitya Sil
Lichenoid dysplasia- report of 2 cases and review of literature
Journal of Family Medicine and Primary Care
lichenoid dysplasia
lichenoid lesions
lichen planus
oral epithelial dysplasia
title Lichenoid dysplasia- report of 2 cases and review of literature
title_full Lichenoid dysplasia- report of 2 cases and review of literature
title_fullStr Lichenoid dysplasia- report of 2 cases and review of literature
title_full_unstemmed Lichenoid dysplasia- report of 2 cases and review of literature
title_short Lichenoid dysplasia- report of 2 cases and review of literature
title_sort lichenoid dysplasia report of 2 cases and review of literature
topic lichenoid dysplasia
lichenoid lesions
lichen planus
oral epithelial dysplasia
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=7;spage=3733;epage=3736;aulast=Sil
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