Vijayalakshmi Manti, Rajasekhar Bandela, Shetty Vishwaprakash, Prakash Animelli Jacob, Rao Thokala Madhusudhan, Latha H Aparna
Department of Oral and Maxillofacial Pathology, Lenora Institute of Dental Sciences, Rajanagaram, Rajahmundry, Andhra Pradesh, India.
Department of Oral and Maxillofacial Pathology, Navodaya Dental College and Hospital, Raichur, Karnataka, India.
J Oral Maxillofac Pathol. 2024 Oct-Dec;28(4):570-575. doi: 10.4103/jomfp.jomfp_29_24. Epub 2024 Dec 31.
Though it has a different aetiology, lichenoid lesions and lichen planus are both chronic inflammatory mucocutaneous conditions with similar clinical and histological characteristics. Uncertainty persists despite the development of recommendations for distinguishing oral lichen planus from lichenoid diseases.
A retrospective analysis was conducted on 25 cases of oral lichen planus (OLP), oral lichenoid lesions (OLL), and normal oral mucosa (NOM) that had been histologically diagnosed. Using imagej analysis software, morphometric assessments of the cellular area, nuclear area, nucleus cytoplasmic ratio, nuclear diameter, and cellular diameter of suprabasal cells were performed on sections stained with haematoxylin and eosin. The data were then analysed using ANOVA.
Our study's findings demonstrated that, in comparison to the normal oral mucosa, the mean values of the nuclear area, cellular area, nuclear diameter, and cellular diameter in oral lichen planus and oral lichenoid lesions were higher.
In the current investigation, we also found that, in comparison to normal mucosa, the nuclear-cytoplasmic ratio was lower in oral lichen planus and oral lichenoid lesions.
尽管苔藓样病变和扁平苔藓病因不同,但它们都是具有相似临床和组织学特征的慢性炎症性黏膜皮肤疾病。尽管已经制定了区分口腔扁平苔藓和苔藓样疾病的建议,但不确定性仍然存在。
对25例经组织学诊断的口腔扁平苔藓(OLP)、口腔苔藓样病变(OLL)和正常口腔黏膜(NOM)进行回顾性分析。使用ImageJ分析软件,对苏木精和伊红染色切片上基底上层细胞的细胞面积、核面积、核质比、核直径和细胞直径进行形态计量评估。然后使用方差分析对数据进行分析。
我们研究的结果表明,与正常口腔黏膜相比,口腔扁平苔藓和口腔苔藓样病变的核面积、细胞面积、核直径和细胞直径的平均值更高。
在当前的研究中,我们还发现,与正常黏膜相比,口腔扁平苔藓和口腔苔藓样病变的核质比更低。