Exfoliative cytology of oral mucosa in kidney transplant patients: a cytomorphometric study.

Objectives: The aim of this study was to investigate quantitative cytologic changes in oral mucosal smears collected from kidney transplant patients by modern stereologic methods.

Methods: Smears were obtained from the clinically healthy buccal mucosa and floor of mouth of transplant patients (n = 21) and healthy volunteers (n = 27). Smears from each individual stained by the Papanicolaou method were analyzed using a stereologic method. Nuclear (NV) and cytoplasmic (CV) volumes were evaluated with Stereo Investigator software.

Results: CV values were 123,012.71 ± 15,840.96 fL in the floor of the mouth and 133,667.10 ± 26,653.39 fL in the buccal mucosa of the kidney transplant patients. CV values were 133,746.93 ± 14,210.67 fL in the floor of the mouth and 167,797.78 ± 21,007.70 fL in the buccal mucosa of the control group. NV values were 945.68 ± 65.85 fL in the floor of the mouth and 845.15 ± 81.56 fL in the buccal mucosa of the kidney transplant patients and 485.17 ± 18.03 fL in the floor of the mouth and 410.25 ± 52.84 μm(3) in the buccal mucosa of the control group. Significantly higher NV (P = .000) and NV/CV (P = .000) and lower CS (P = .000) values were found in the patient group compared with the control group.

Conclusion: The findings suggest that there were alterations in oral epithelial cells, detectable by microscopy and cytomorphometry in kidney transplant patients.