Mohammed Abidullah1, Vandana Raghunath2, Tanveer Karpe3, Syed Akifuddin4, Shahid Imran5, Venkata Naga Nalini Dhurjati6, Mohammed Ahtesham Aleem7, Farheen Khatoon8. 1. Assistant Professor, Department of Oral & Maxillofacial Pathology, S.B Patil Dental College and Hospital , Bidar, Karnataka, India . 2. Professor and HOD, Department of Oral & Maxillofacial Pathology, Narayana Dental College & Hospital , Nellore, AP, India . 3. Professor, Department of Oral & Maxillofacial Surgery, S.B Patil Dental College and Hospital , Bidar, Karnataka, India . 4. Reader, Department of Oral & Maxillofacial Surgery, Daswani Dental College & Hospital , Kota, Rajasthan, India . 5. Post Graduate Student, Department of Oral Medicine & Radiology, MNR Dental College , Sanga Reddy, Telagana, India . 6. Graduate Student, Ragas Dental College , Chennai, Tamil Nadu, India . 7. Consulting Oral & Maxillofacial Surgeon, Life Prime Dental Hospital , Hyderabad, Telangana, India . 8. Director, Dentomax Dental & Maxillofacial Solutions , Hyderabad, Telangana, India .
Abstract
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.
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.
Authors: Marcio Diniz Freitas; Andrés Blanco-Carrión; Pilar Gándara-Vila; José Antúnez-López; Abel García-García; José Manuel Gándara Rey Journal: Oral Surg Oral Med Oral Pathol Oral Radiol Endod Date: 2006-04-21
Authors: N Ikeda; Y Handa; S P Khim; C Durward; T Axéll; T Mizuno; H Fukano; T Kawai Journal: Community Dent Oral Epidemiol Date: 1995-02 Impact factor: 3.383