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Lim, J. S. M. and Tang, S. P. and Siar, C. H. (2009) Neoplasia/dysplasia Surveillance of Oral Lichen Planus in Malaysia: A Preliminary Study using Topography Maps. Asian Pacific Journal of Cancer Prevention, 10 (6). 1513-7368 . ISSN 1513-7368

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    Abstract

    Background: Conventional methods for writing case notes detailing the progress of oral lichen planus (OLP), a precancerous condition that requires long-term surveillance, is both time-consuming and tedious for the busy clinician. Objectives: To design and perform a simple surveillance on OLP patients based on colour-coded topography mouth maps (TMM). Materials and methods: Three colour-coded TMM were employed: red for OLP in high risk oral mucosal sites, yellow for cases showing improvement and green for asymptomatic lesions at each recall visit. In this preliminary study, these were applied on 30 histologically confirmed OLP individuals attending the Oral Medicine Clinic at the Department of Oral Pathology, Oral Medicine & Periodontology, Faculty of Dentistry, University of Malaya. The sites and extent of OLP lesions were charted on either red, yellow or green TMM based on defined criteria. This surveillance evaluated OLP in relation to patient's age, race, gender, underlying systemic conditions, oral habits, initial onset of OLP, oral manifestations and presence/absence of clinically suspicious areas. Results: Study sample comprised 4 (13.3) Malays, 9 (30.0) Chinese and 17 (56.7) Indians. Most OLP patients belong to the green TMM (n=14, 46.6) group followed by red (n=11, 36.7) and yellow (n=5, 16.7) groups. Of the 11 cases with red TMM, rebiopsy was performed on 4 cases but no dysplasia was detected. Any local confounding factors namely periodontal disease or faulty dental restorations were managed accordingly. Conclusions: TMM is simple to use and aided the clinicians in terms of time saving and patient management. Hence, follow-up of OLP patients can be carried out more efficiently and appropriately. TMM can be used for surveillance of other oral precancerous lesions and conditions.

    Item Type: Article
    Additional Information: ISI Document Delivery No.: 590OX Times Cited: 2 Cited Reference Count: 21 Cited References: Epstein JB, 2007, J AM DENT ASSOC, V138, P1555 Gale N, 2005, WHO CLASSIFICATION T, P177 Lo Muzio L, 1998, ORAL ONCOL, V34, P239, DOI 10.1016/S1368-8375(98)80001-8 Mattsson U, 2002, CRIT REV ORAL BIOL M, V13, P390 Mignogna MD, 2006, ORAL ONCOL, V42, P819, DOI 10.1016/j.oraloncology.2005.11.022 Mignogna MD, 2001, ORAL ONCOL, V37, P262, DOI 10.1016/S1368-8375(00)00096-8 Napier SS, 2008, J ORAL PATHOL MED, V37, P1, DOI 10.1111/j.1600-0714.2007.00579.x Neville BW, 2002, CA-CANCER J CLIN, V52, P195 Ng K H, 1985, Southeast Asian J Trop Med Public Health, V16, P602 Ng KH, 1992, P SCI SEM IMR 90 ANN, P103 Ng K H, 1986, Ann Dent, V45, P7 Rad M, 2009, ORAL SURG ORAL MED O, V107, P796, DOI 10.1016/j.tripleo.2009.02.020 Rajentheran R, 1999, EUR J SURG ONCOL, V25, P520, DOI 10.1053/ejso.1999.0689 Scully C, 2008, BRIT J ORAL MAX SURG, V46, P15, DOI 10.1016/j.bjoms.2007.07.199 Scully C, 1998, CRIT REV ORAL BIOL M, V9, P86 Siar CH, 1990, ASIAN MED J, V33, P697 van der Meij EH, 2003, ORAL SURG ORAL MED O, V96, P164, DOI 10.1016/S1079-2104(03)00305-6 WARNAKULASURIYA KAAS, 1991, CANCER DETECT PREV, V15, P331 Yaacob Hashim B, 2002, J Oral Sci, V44, P65 Zain RB, 1999, J ORAL PATHOL MED, V28, P1 Zain RB, 1997, COMMUNITY DENT ORAL, V25, P377, DOI 10.1111/j.1600-0528.1997.tb00959.x Lim, Jimie Siew Mei Tang, Sum Pei Siar, Chong Huat university Grants Commission32-614/2006 Financial assistance from the university Grants Commission, Major Research Project 32-614/2006 (SR) is acknowledged. Asian pacific organization cancer prevention Nagoya
    Uncontrolled Keywords: Oral lichen planus precancerous lesions dysplasia surveillance squamous-cell carcinoma malignant-transformation mucosal lesions management criteria cancer
    Subjects: Medicine and Dentistry > Clinical Dentistry
    Divisions: UNSPECIFIED
    Depositing User: Ms Nursyafiqah Abd Malek
    Date Deposited: 23 Oct 2012 05:15
    Last Modified: 23 Oct 2012 05:15
    URI: http://opendepot.org/id/eprint/1471

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