Journals on Vaccination - BJSTR Journal

Abstract

White #lesions of the #oral cavity play a major role for the general dentist, but neither are all of these lesions life threatening nor are these lesions diagnosed correctly in the day to day practice. Most of these changes usually regress back to normal on its own without even recognition of it because of the forgiving nature of the oral cavity and those who recognize it rarely get it treated at the earliest [1]. The development of cancer is a multi-stage process, with initially the presence of a #precursor/pre-cancer lesion and the latter as a well-established one [2]. The term epithelial precursor lesions‟ has been used In the WHO monograph on Head and Neck Tumors. The term potentially malignant disorders was recommended at a workshop coordinated by the WHO Collaborating Centre for Oral Cancer and Precancer in UK for the Precancerous lesions of the #oral mucosa and was called so as it conveys that not all disorders described under this term may transform into cancer [2]. The most common oral mucosal diseases that have a very high malignant transformation rate are oral leukoplakia, #oral erythroplakia oral #submucous fibrosis with the most frequently reported etiological agents being tobacco, alcohol, chewing of betel quid containing areca nut. An early diagnosis can be lifesaving; hence its importance cannot be ignored as in later stages they might progress to severe dysplasia and even carcinoma in situ and/or squamous cell carcinoma (Tables 1 & 2) [3-5]. Even though the diagnosis relies on the histopathology report but even then there are certain diagnostic criteria which should be taken into account which not only helps in the diagnosis but also in the prognosis and the treatment of such conditions. Ghazali et al. [6], suggested the following criteria for the diagnosis of #Proliferative Verrucous Leukoplakia (Table 3). Even though a diagnosis has been given for the lesion but there always remains a dilemma even with an expert, due to the similar mimicking lesions present in the same location and with the same properties as oral leukoplakia.

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Screening and Diagnostic Aids of Oral Potentially Malignant Disorders by Karthik D Yadav in BJSTR