Oral Potentially Malignant Disorders Flashcards
Orally Potentially Malignant Disorders: Before describing something as leukoplakia, what three things need to be excluded?
- Trauma
- Immune-mediated
- Infections
Orally Potentially Malignant Disorders:
True or False: Proliferative Verrucous Leukoplakia is a rare, aggressive subset of OPMD
True
Orally Potentially Malignant Disorders: Proliferative Verrucous Leukoplakia is more of less resistant to treatment
More
Orally Potentially Malignant Disorders: Proliferative Verrucous Leukoplakia is a _____ potential for malignant transformation
Strong
Orally Potentially Malignant Disorders: What are the four phases of Proliferative Verrucous Leukoplakia?
- Focal early presentation
- Geographic expansion with time
- Development of verrucoid/warty appearance
- Development of cancer
Orally Potentially Malignant Disorders: What is the most common site for proliferative verrucous leukoplakia?
Gingiva
Orally Potentially Malignant Disorders: Describe the progression of epithelial dysplasia to malignant transformation
Normal stratified squamous histology -> epithelial dysplasia -> Invasive SCC
Orally Potentially Malignant Disorders: Malignant transformation risk factors
Long duration, female gender, location, dysplasia, leukoplakia present in non=smoker, size
Orally Potentially Malignant Disorders:
Five molecular predictors
- E-cadherin expression
- LOH 3P and 9P
- P53 expression
- P16 expression
- ERK/MAP alterations
Orally Potentially Malignant Disorders: Describe Mild (Low Grade) Epithelial Dyplasia
Hyperchromatic and slightly pleomorphic nuclei localized to the basal and parabasilar areas
Orally Potentially Malignant Disorders: Describe moderate (medium grade) epithelial dysplasia
Dysplastic features extending from the basal layer to the midportion of the spinous layer. Characterized by nuclear hyperchromatism, pleomorphism and cellular crowding
Orally Potentially Malignant Disorders: Severe (high grade) epithelial dysplasia
Dysplasia extends from the basal layer to beyond the midpoint of the epithelium
Orally Potentially Malignant Disorders: If a white patch is diagnosed clinically as leukoplakia, should we biopsy?
MUST biopsy
Orally Potentially Malignant Disorders: Treatment for Moderate Dysplasia
Surgical Removal
Orally Potentially Malignant Disorders: Treatment for Severe Dysplasia
Surgical Removal