DOI QR코드

DOI QR Code

Malignant Transformation from Oral Epithelial Dysplasia: Two Case Reports on the Ventral Tongue

  • Yeonseo Kim (Department of Oral Medicine, Seoul National University Dental Hospital) ;
  • Hee-Kyung Park (Department of Oral Medicine, Seoul National University Dental Hospital)
  • Received : 2024.11.22
  • Accepted : 2024.12.13
  • Published : 2024.12.30

Abstract

Tongue cancer is one of the most prevalent malignancies in oral and maxillofacial area. Early diagnosis is crucial for improved clinical outcome. Regarding malignant transformation, it is important to understand the concept of oral potentially malignant disorders and oral epithelial dysplasia (OED). We present two cases of oral squamous cell carcinoma (OSCC) developing from OED on ventral tongue. Both of our cases progressed from mild OED to moderate OED, and then severe OED, eventually resulting in OSCC. Our cases underscore that clinicians must look into pathological description of epithelial dysplasia, not only clinical diagnosis of the lesion. Clinical features such as indurated nodules, a mixed white and red appearance, and thick verrucous plaques were closely monitored, enabling the prompt detection of OSCC through biopsy of the relevant site.

Keywords

References

  1. Warnakulasuriya S, Kujan O, Aguirre-Urizar JM, et al. Oral potentially malignant disorders: a consensus report from an international seminar on nomenclature and classification, convened by the WHO Collaborating Centre for Oral Cancer. Oral Dis 2021;27:1862-1880. https://doi.org/10.1111/odi.13704
  2. Odell E, Kujan O, Warnakulasuriya S, Sloan P. Oral epithelial dysplasia: recognition, grading and clinical significance. Oral Dis 2021;27:1947-1976. https://doi.org/10.1111/odi.13993
  3. González-Moles MÁ, Warnakulasuriya S, González-Ruiz I, et al. Worldwide prevalence of oral lichen planus: a systematic review and meta-analysis. Oral Dis 2021;27:813-828. https://doi.org/10.1111/odi.13323
  4. Zhang C, Li B, Zeng X, Hu X, Hua H. The global prevalence of oral leukoplakia: a systematic review and meta-analysis from 1996 to 2022. BMC Oral Health 2023;23:645.
  5. Giuliani M, Troiano G, Cordaro M, et al. Rate of malignant transformation of oral lichen planus: a systematic review. Oral Dis 2019;25:693-709. https://doi.org/10.1111/odi.12885
  6. Pinto AC, Caramês J, Francisco H, Chen A, Azul AM, Marques D. Malignant transformation rate of oral leukoplakia-systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol 2020;129:600611.e2.
  7. Sun JR, Kim SM, Seo MH, Kim MJ, Lee JH, Myoung H. Oral cancer incidence based on annual cancer statistics in Korea. J Korean Assoc Oral Maxillofac Surg 2012;38:20-28. https://doi.org/10.5125/jkaoms.2012.38.1.20
  8. Kim TW, Jo SH, Min SK, et al. Clinical outcome of the squamous cell carcinoma of tongue: experience of National Cancer Center. J Korean Assoc Maxillofac Plast Reconstr Surg 2010;32:537-543.
  9. Rhodus NL, Kerr AR, Patel K. Oral cancer: leukoplakia, premalignancy, and squamous cell carcinoma. Dent Clin North Am 2014; 58:315-340. https://doi.org/10.1016/j.cden.2013.12.004
  10. Bagan J, Sarrion G, Jimenez Y. Oral cancer: clinical features. Oral Oncol 2010;46:414-417. https://doi.org/10.1016/j.oraloncology.2010.03.009
  11. Moore SR, Johnson NW, Pierce AM, Wilson DF. The epidemiology of tongue cancer: a review of global incidence. Oral Dis 2000;6: 75-84. https://doi.org/10.1111/j.1601-0825.2000.tb00105.x
  12. Morse DE, Psoter WJ, Cleveland D, et al. Smoking and drinking in relation to oral cancer and oral epithelial dysplasia. Cancer Causes Control 2007;18:919-929. https://doi.org/10.1007/s10552-007-9026-4
  13. Krutchkoff DJ, Eisenberg E. Lichenoid dysplasia: a distinct histopathologic entity. Oral Surg Oral Med Oral Pathol 1985;60:308315.
  14. Aghbari SMH, Abushouk AI, Attia A, et al. Malignant transformation of oral lichen planus and oral lichenoid lesions: a metaanalysis of 20095 patient data. Oral Oncol 2017;68:92-102. https://doi.org/10.1016/j.oraloncology.2017.03.012
  15. Gonzalez-Moles MA, Scully C, Gil-Montoya JA. Oral lichen planus: controversies surrounding malignant transformation. Oral Dis 2008;14:229-243. https://doi.org/10.1111/j.1601-0825.2008.01441.x
  16. Shariff JA, Zavras AI. Malignant transformation rate in patients presenting oral epithelial dysplasia: systematic review and metaanalysis. J Oral Dis 2015;2015:854636.
  17. Iocca O, Sollecito TP, Alawi F, et al. Potentially malignant disorders of the oral cavity and oral dysplasia: a systematic review and meta-analysis of malignant transformation rate by subtype. Head Neck 2020;42:539-555. https://doi.org/10.1002/hed.26006
  18. Brennan M, Migliorati CA, Lockhart PB, et al. Management of oral epithelial dysplasia: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103(Suppl):S19.e1-12. https://doi.org/10.1016/j.tripleo.2006.10.015
  19. Bernard C, Zhang JZ, Klieb H, Blanas N, Xu W, Magalhaes M. Clinical outcomes of oral epithelial dysplasia managed by observation versus excision. Head Neck 2023;45:3096-3106. https://doi.org/10.1002/hed.27539
  20. Speight PM, Khurram SA, Kujan O. Oral potentially malignant disorders: risk of progression to malignancy. Oral Surg Oral Med Oral Pathol Oral Radiol 2018;125:612-627. https://doi.org/10.1016/j.oooo.2017.12.011