NUMERO: #20240900

Título: THE CHALLENGE IN THE DIAGNOSTIC OF POTENTIALLY MALIGNANT ORAL DISORDERS WITH LICHENOID INFILTRATE. CASE REPORT.

Nome do Apresentador: Marcelle Bairral ECARD

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Patologia Oral

Resumo: Woman, 74 years old, caucasian, denies smoking or alcohol consumption, hypertensive, with previous diagnosis of leukoplakia. On intraoral examination, a non-detachable, single, non-homogeneous, symptomatic leukoerythroplastic plaque was observed, measuring 3.0cm, with evolution of 10 months, on the right tongue dorsum. Incisional biopsy and histopathological analysis revealed the presence of severe epithelial dysplasia. The patient was referred to a head and neck surgeon for complete removal of the lesion and the report was lichen planus with epithelial atypia by a medical laboratory. When reviewing the report, severe epithelial dysplasia with foci of inflammatory infiltrate with a lichenoid pattern was observed. This report shows challenges in the diagnostic process of potentially malignant oral disorders, especially, when they present with a lichenoid infiltrate. A careful clinical and histopathological analysis is important for the final diagnosis between lichen planus and lichenoid lesion, as it directly affects the treatment and prognosis of the lesion.

Autor 1:  Marcelle Bairral ECARD

E-mail 1:  [email protected]

Autor 2:   Adriana Terezinha Neves NOVELLINO Alves

E-mail 2:  [email protected]

Autor 3 :  Ana Flávia SCHUELER de Assumpção Leite

E-mail 3:  [email protected]

Autor 4:  Silvia Paula de OLIVEIRA

E-mail 4:  [email protected]

Autor 5:  Luisa Aguirre BUEXM

E-mail 5:  [email protected]

Autor 6:  Luana Clementino CORDEIRO

E-mail 6:  [email protected]

Autor 7:  Simone de Queiroz Chaves LOURENÇO

E-mail 7:  [email protected]