Oral Surg Oral Med Oral Pathol. Sep;60(3) Lichenoid dysplasia: a distinct histopathologic entity. Krutchkoff DJ, Eisenberg E. We have observed. Citation. M Virdi, A Sachdev, A Gupta, K Aggarwal. Lichen Planus Or Lichenoid Dysplasia: Is It Premalignant!. The Internet Journal of Head and Neck Surgery. We have observed, both in the literature and in practice, that pathologists frequently fail to appreciate subtle dysplastic features in lesions with lichenoid.

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Lichenoid Dysplasia‚ÄďA Case Report with a Review of Differential Diagnosis

Current controversies in oral lichen planus: How to cite this article: Clinical management and malignant transformation. Histologically, the inflammatory infiltrate ,ichenoid predominant eosinophils is more widely spread deep into the connective tissue. Classification of Oral Lichenoid Lesions. Classification of oral lichenoid lesions [11] Click here to view.

Lichenoid dysplasia: a distinct histopathologic entity.

H, Van der Waal I. At times, oral lesions in discoid lupus erythematosus reveal lichen planus like white striae. Only one patient used tobacco cigarettes –this patient had recurrent oral candidiasis and was receiving multiple medications. Update on Oral epithelial dysplasia and progression to cancer.

Furthermore, the role of Histochemical markers, Quantitative cytology and Morphometry as prognostic tools in evaluation of OLP has been proved beyond doubt.

Nuclear and cellular volumes may serve as potential discriminators dsyplasia benign lesions and premalignant lichen planus. Lee and Fabiger; A review of the recent literature regarding malignant transformation of oral lichen planus. The concern around the malignant potential of oral lichen planus is much more related to diagnostic difficulties than to the nature of the condition itself. Although it has been confirmed that these two entities are entirely different with not so similar etiopathogenesis, yet the confusion still exists.


Oral cavity is commonly affected by number of lichenoid lesions, whose clinical and histopathologic features overlap due to the presence of inflammatory cells in connective tissue. Intraoral photograph revealing grayish white lace like lesion on left buccal mucosa, measuring around 1. It does not imply dysplastic changes in lichen planus. It should not be neglected that the very chronic inflammatory process present in lichen planus leads to the onset of cell disorders that mimic the ones seen licenoid epithelial dysplasia, without however possessing any malignant connotation.

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Report of an international consensus meeting part 2: Indeed, the dysplqsia of evolving malignantly reflects a series of cell-intrinsic molecular alterations seen in lichenoid dysplasia 21as reported by Kim et al. The chi-squared test did not show statistically significant differences between oral lichen planus and epithelial dysplasia in relation to the following cell alterations: Open in a separate window.

Cancer liichenoid oral lichen planus in a Swedish population. Find articles by Kumud Mittal.

Case Report A year-old male patient reported to the Dental Outpatient Department with a chief complaint of excessive burning sensation upon eating spicy food since two months. This condition manifests characteristics that are similar to the ones encountered in oral lichen planus, but it also presents altered epithelial cell maturation patterns, dysplasa excluding lichen planus from the diagnostic possibilities.


Edwards PC, Kelsch R. Lichrnoid Beijing university, china, Oral manifestations of chronic mucocutaneous candidiasis: OLP patients should have regular follow-up examinations from two to four times annually 3. Repeated biopsies to be done when recurrence, change or spread is detected.

Three month review following the treatment for the first year and biannually for the next two years is recommended.

The malignant potential of a lichen planus has been a matter of debate from ages, whereas LD is definitely premalignant, thus the distinction between the two entities is important. Proposal for a set of modified WHO diagnostic criteria of oral lichen planus and oral lichenoid Lesions [17] Click here to view.

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Oral mucosal reactions to cinnamon flavored chewing Gums. J Oral Maxillofac Surg. Interobserver and intraobserver variability in the histologic assessment of oral lichen planus. Medical history did not reveal any significant finding.