Vescovi P, Manfredi M, Savi A, Bonanini M
Istituto di Clinica Odontoiatrica, Università degli Studi, Parma.
Minerva Stomatol. 2000 May;49(5):257-66.
The possible malignant transformation of oral lichen planus is still controversial. It is not clear if this is in fact due to the premalignant nature of oral lichen planus or to the presence of some risk-factors in patients with this pathology. The risk co-factors that may he involved in this malignant transformation are numerous. Some authors suggested a correlation between oral lichen planus and HCV or HGV, or with the presence of some oncogenic viruses (EBV, HSV, HPV). Cases of this malignant transformation on oral and genital mucosa with lichen are reported, hut none on the skin lesions. The aim of this study is to investigate, through the literature, these correlations that may have a role in the malignant transformation of oral lichen planus.
口腔扁平苔藓是否可能发生恶性转化仍存在争议。目前尚不清楚这实际上是由于口腔扁平苔藓的癌前性质,还是由于患有这种疾病的患者存在一些风险因素。可能参与这种恶性转化的风险协同因素众多。一些作者提出口腔扁平苔藓与丙型肝炎病毒(HCV)或庚型肝炎病毒(HGV)之间存在关联,或者与某些致癌病毒(EB病毒、单纯疱疹病毒、人乳头瘤病毒)的存在有关。有报道称口腔和生殖器黏膜出现苔藓样病变发生恶性转化的病例,但皮肤病变未见此类情况。本研究的目的是通过文献调查这些可能在口腔扁平苔藓恶性转化中起作用的关联。