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口腔扁平苔藓的恶性潜能;326例患者的随访研究

Malignant potential of oral lichen planus; a follow-up study of 326 patients.

作者信息

Markopoulos A K, Antoniades D, Papanayotou P, Trigonidis G

机构信息

Aristotle University of Thessaloniki, School of Dentistry, Department of Oral Medicine/Pathology, Greece.

出版信息

Oral Oncol. 1997 Jul;33(4):263-9. doi: 10.1016/s0964-1955(97)00005-5.

DOI:10.1016/s0964-1955(97)00005-5
PMID:9307716
Abstract

326 patients with oral lichen planus were followed for periods ranging from 6 months to 10 years (mean 4.8 years), in an attempt to clarify the malignant potential of this disease which is still controversial. Malignant transformation occurred in 4 patients (1.3%) in a mean time of 6.5 years after the onset of lichen planus. Before cancer development, 3 of these patients manifested the erosive form of oral lichen planus, while the others, a combination of the papular/atrophic form. Malignant transformation in our patients could not be associated with any evident factors, such as family history, local irritation, alcohol consumption, nutritional disturbances or other systemic diseases.

摘要

对326例口腔扁平苔藓患者进行了为期6个月至10年(平均4.8年)的随访,以试图阐明这种仍存在争议的疾病的恶变潜能。4例患者(1.3%)发生恶变,恶变平均发生在扁平苔藓发病后6.5年。在发生癌变前,其中3例患者表现为糜烂型口腔扁平苔藓,而其他患者则为丘疹/萎缩型。我们的患者发生恶变与任何明显因素无关,如家族史、局部刺激、饮酒、营养紊乱或其他全身性疾病。

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