A retrospective clinicopathological study on oral lichen planus and malignant transformation: analysis of 518 cases.

Med Oral Patol Oral Cir Bucal

Shanghai Key Laboratory of Stomatology, Department of Oral Mucosal Diseases, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Published: November 2012

AI Article Synopsis

  • The study examined 518 patients with oral lichen planus (OLP) in eastern China, revealing a significant female majority (353 females vs. 165 males) and an average diagnosis age of 46.3 years.
  • Approximately 87.8% of patients had lesions on the buccal mucosa, with a near-even split between white lichen (52.3%) and red lichen (47.7%).
  • Importantly, around 1% of the patients developed oral cancer, predominantly affecting non-smoking, non-drinking females, indicating OLP's potential malignancy risk.

Article Abstract

Objective: To investigate the epidemiological and clinical characteristics of a relatively large cohort of patients with oral lichen planus (OLP) from eastern China.

Study Design: A total of 518 patients with histologically confirmed OLP in a long-term follow-up period (6 months-21.5 years) were retrospectively reviewed in our clinic.

Results: Of the 518 patients, 353 females and 165 males were identified. The average age at diagnosis was 46.3 years (range 9-81 years) with the buccal mucosa being the most common site (87.8%). At initial presentation, white lichen and red lichen was seen in 52.3% and 47.7% patients, respectively. Of these, 5 (0.96%) patients previously diagnosed clinically and histopathologically as OLP developed oral cancer. All of them were the females with no a history of smoking or alcohol use.

Conclusions: Clinical features of eastern Chinese OLP patients were elucidated. Notably, approximately 1% of OLP developed into cancer, which provides further evidence of potentially malignant nature of OLP.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3505714PMC
http://dx.doi.org/10.4317/medoral.17778DOI Listing

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