Clinicopathologic Correlation of White, Non scrapable Oral Mucosal Surface Lesions: A Study of 100 Cases
Introduction: White, non scrapable lesions are commonly seen in the oral cavity. Based on their history and clinical appearance, most of these lesions can be easily diagnosed, but sometimes diagnosis may go wrong. In order to arrive to a confirmative diagnosis, histopathological assessment is ne...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7226/16950_CE[Ra]_F(Sh)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Introduction: White, non scrapable lesions are commonly seen
in the oral cavity. Based on their history and clinical appearance,
most of these lesions can be easily diagnosed, but sometimes
diagnosis may go wrong. In order to arrive to a confirmative
diagnosis, histopathological assessment is needed in many
cases, if not all.
Aims: 1) To find out the prevalence of clinically diagnosed oral
white, non scrapable lesions. 2) To find out the prevalence of
histopathologically diagnosed oral white, non scrapable lesions.
3) To correlate the clinical and histopathological diagnosis in the
above lesions.
Materials and Methods: A total of 100 cases of oral white,
non scrapable lesions were included in the study. Based on
their history and clinical presentation, clinical provisional
diagnosis was made. Then biopsy was done and confirmatory
histopathological diagnosis was given and both were correlated.
In order to correlate clinical and histopathological diagnosis
Discrepancy Index (DI) was calculated for all the cases.
Results: Based on clinical diagnosis, there were 59 cases (59%)
of leukoplakia, 29 cases (29%) of lichen planus and six cases
(6%) of lichenoid reaction; whereas, based on histopathological
diagnosis, there were 66 cases (66%) of leukoplakia epithelial
hyperplasia and hyperkeratosis (leukoplakia) and 30 cases
(30%) of lichen planus. Seventy eight clinically diagnosed cases
(78%) correlated with the histopathological diagnosis and 22
cases (22%) did not correlate. The total discrepancy index was
22%.
Conclusion: A clinician needs to be aware of oral white, non
scrapable lesions. Due to the overlapping of many clinical
features in some of these lesions and also due to their
malignant potential, a histopathological confirmative diagnosis
is recommended. |
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| ISSN: | 2249-782X 0973-709X |