Methylene Blue and Lugol’s Iodine as an Adjunctive Tool for Early Diagnosis of Premalignant Oral Lesions

Objective: To compare Methylene blue and Lugol’s Iodine as6an adjunctive tool6for early diagnosis of premalignant oral6lesions by taking histopathology as gold standard. Methods: In this cross-sectional study patients of oral0premalignant lesions were selected. Methylene blue and lugols iodine...

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Main Authors: Surwaich Ali, Arhama Surwaich, Muhammad Muslim Khakro
Format: Article
Language:English
Published: Rawalpindi Medical University 2019-05-01
Series:Journal of Rawalpindi Medical College
Subjects:
Online Access:https://www.journalrmc.com/index.php/JRMC/article/view/1107
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author Surwaich Ali
Arhama Surwaich
Muhammad Muslim Khakro
author_facet Surwaich Ali
Arhama Surwaich
Muhammad Muslim Khakro
author_sort Surwaich Ali
collection DOAJ
description Objective: To compare Methylene blue and Lugol’s Iodine as6an adjunctive tool6for early diagnosis of premalignant oral6lesions by taking histopathology as gold standard. Methods: In this cross-sectional study patients of oral0premalignant lesions were selected. Methylene blue and lugols iodine staining was used at lesion’s area. Mucosa0of target site was dried gently by gauze0and power0air0spray with triple syringe to make sure that the0lesion is not0being contaminated with0saliva. The dye was applied directly with a cotton0bud for 10-20 seconds and was decolorized. The dye retention pattern was evaluated by stain retention’s intensity on the lesion. Incisional biopsy was performed simultaneously from that site as gold standard. Results: Out of 60 cases, males were 81.6%. Majority (65.0%) had more than one addicting habit of mainpuri, gutka and supari. The commonest region of oral lesions was the buccal6mucosa (61.6%). According to the diagnostic accuracy of methylene blue the sensitivity was 89.4% and specificity was 66.6%. According to the Lugol’s Iodine sensitivity was 83.3% and specificity was 50%. Conclusion: Methylene blue and lugols iodine staining are an easy and non-invasive screening tools for the early diagnosis of malignancy.
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spelling doaj.art-c413e542ce734ee29f8c01c6af9eeacf2022-12-22T01:23:20ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702019-05-01232Methylene Blue and Lugol’s Iodine as an Adjunctive Tool for Early Diagnosis of Premalignant Oral LesionsSurwaich Ali0Arhama Surwaich1Muhammad Muslim Khakro2Oral Pathology Department Isra Dental College Hyderabad;Oral Pathology Department Isra Dental College HyderabadDental Material Department,LUMHS Jamshoro HyderabadObjective: To compare Methylene blue and Lugol’s Iodine as6an adjunctive tool6for early diagnosis of premalignant oral6lesions by taking histopathology as gold standard. Methods: In this cross-sectional study patients of oral0premalignant lesions were selected. Methylene blue and lugols iodine staining was used at lesion’s area. Mucosa0of target site was dried gently by gauze0and power0air0spray with triple syringe to make sure that the0lesion is not0being contaminated with0saliva. The dye was applied directly with a cotton0bud for 10-20 seconds and was decolorized. The dye retention pattern was evaluated by stain retention’s intensity on the lesion. Incisional biopsy was performed simultaneously from that site as gold standard. Results: Out of 60 cases, males were 81.6%. Majority (65.0%) had more than one addicting habit of mainpuri, gutka and supari. The commonest region of oral lesions was the buccal6mucosa (61.6%). According to the diagnostic accuracy of methylene blue the sensitivity was 89.4% and specificity was 66.6%. According to the Lugol’s Iodine sensitivity was 83.3% and specificity was 50%. Conclusion: Methylene blue and lugols iodine staining are an easy and non-invasive screening tools for the early diagnosis of malignancy.https://www.journalrmc.com/index.php/JRMC/article/view/1107Premalignant and malignant lesionsMethylene blueLugol’s IodineOral Cavity
spellingShingle Surwaich Ali
Arhama Surwaich
Muhammad Muslim Khakro
Methylene Blue and Lugol’s Iodine as an Adjunctive Tool for Early Diagnosis of Premalignant Oral Lesions
Journal of Rawalpindi Medical College
Premalignant and malignant lesions
Methylene blue
Lugol’s Iodine
Oral Cavity
title Methylene Blue and Lugol’s Iodine as an Adjunctive Tool for Early Diagnosis of Premalignant Oral Lesions
title_full Methylene Blue and Lugol’s Iodine as an Adjunctive Tool for Early Diagnosis of Premalignant Oral Lesions
title_fullStr Methylene Blue and Lugol’s Iodine as an Adjunctive Tool for Early Diagnosis of Premalignant Oral Lesions
title_full_unstemmed Methylene Blue and Lugol’s Iodine as an Adjunctive Tool for Early Diagnosis of Premalignant Oral Lesions
title_short Methylene Blue and Lugol’s Iodine as an Adjunctive Tool for Early Diagnosis of Premalignant Oral Lesions
title_sort methylene blue and lugol s iodine as an adjunctive tool for early diagnosis of premalignant oral lesions
topic Premalignant and malignant lesions
Methylene blue
Lugol’s Iodine
Oral Cavity
url https://www.journalrmc.com/index.php/JRMC/article/view/1107
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AT muhammadmuslimkhakro methyleneblueandlugolsiodineasanadjunctivetoolforearlydiagnosisofpremalignantorallesions