Vescovi P, Manfredi M, Savi A, Bonanini M
Istituto di Clinica Odontoiatrica, Università degli Studi, Parma.
Minerva Stomatol. 2000 May;49(5):249-55.
Lichen planus is described like a well-characterized dermatological condition affecting the skin and the oral and genital mucosa. Over the years, different authors have expressed the possible oral lichen planus premalignant nature, but this is still controversial. This criticism is due to the insufficiency of the clinical and histopathological data to support the initial diagnosis of oral lichen planus, the occurrence of some wrong diagnostic criteria for this pathology, the contemporary presence in the same region of the oral lichen planus lesions and of neoplasia. The malignant transformation of oral lichen planus rate varies, according to authors, from 0.4 to 3.7%. The aim of this study is to review the literature from 1910 to 1999, focusing on the suggested possible premalignant nature of oral lichen planus.
扁平苔藓被描述为一种特征明确的皮肤病,可累及皮肤、口腔和生殖器黏膜。多年来,不同的作者都表达了口腔扁平苔藓可能具有癌前性质的观点,但这一观点仍存在争议。这种争议源于临床和组织病理学数据不足以支持口腔扁平苔藓的初步诊断、该病理学存在一些错误的诊断标准、口腔扁平苔藓病变与肿瘤在同一区域同时存在。根据作者的研究,口腔扁平苔藓的恶性转化率在0.4%至3.7%之间。本研究的目的是回顾1910年至1999年的文献,重点关注口腔扁平苔藓可能具有的癌前性质。