Narrow-band imaging features of oral lichenoid conditions: A multicentre retrospective study.

Autor: Guida A; U.O.C. Odontostomatologia, A.O.R.N. 'A. Cardarelli', Naples, Italy., Ionna F; Maxillofacial and ENT surgery, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy., Farah CS; Australian Centre for Oral Oncology Research & Education, Pert, WA, Australia.; Oral, Maxillofacial and Dental Surgery, Fiona Stanley Hospital, Murdoch, WA, Australia.; The Oral Medicine Clinic, Hollywood Private Hospital, Nedlands, WA, Australia.; Head and Neck Pathology, Australian Clinical Labs, Subiaco, WA, Australia.
Jazyk: angličtina
Zdroj: Oral diseases [Oral Dis] 2023 Mar; Vol. 29 (2), pp. 764-771. Date of Electronic Publication: 2021 May 25.
DOI: 10.1111/odi.13915
Abstrakt: Objective: Narrow-band imaging (NBI), which highlights epithelial intrapapillary capillary loops (IPCLs) classified into five patterns (0 toIV) with increasing correlation to malignancy, has demonstrated effectiveness for detection of oral squamous cell carcinoma (OSCC). Lack of standardised procedures limits its use for routine inspection of oral lichenoid lesions including oral lichen planus (OLP), oral lichenoid lesion (OLL) and oral lichenoid reaction (OLR). The aim of this study was to analyse IPCL patterns of such lesions, assessing correlations with histopathological outcomes.
Materials and Methods: A multicentre, retrospective study was performed on 84 patients who underwent NBI and subsequent biopsy for suspected OLP/OLL/OLR. Patients were examined with Evis Exera III NBI system. Recorded NBI video endoscopies were evaluated to assess IPCL patterns and correlated with histopathological outcomes.
Results: No significant differences were detected among OLP/OLL/OLR on NBI inspection. All lichenoid lesions were significantly related to low-grade (0-II) IPCL patterns, clearly distinguishable from OSCC, showing pattern IV (p < 0.05).
Conclusions: NBI cannot discern among OLP/OLL/OLR lesions. Interpretation should be modulated when assessing lichenoid lesions. NBI has potential to discern malignant transformation occurring in lichenoid lesions undergoing long-term follow-up, as IPCL pattern IV may be used as a clinical marker of malignancy arising in chronic inflammatory lesions.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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