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Proliferative Verrucous Leukoplakia Revisited: A Retrospective Clinicopathological Study

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Department of Oral Pathology, M. B. Kedia Dental College and Teaching Hospital, Birgunj 44300, Nepal
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Department of Oral Pathology, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, Bangalore 560054, India
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Department of Conservative Dentistry and Endodontics, M. B. Kedia Dental College and Teaching Hospital, Birgunj 44300, Nepal
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Private Dental Practice, Hyderabad 500081, India
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Private Dental Practice, Chennai 600030, India
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Department of Oral Pathology and Microbiology, Sri Venkateswara Dental College and Hospital, Chennai 600130, India
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Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
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Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
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Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh 11451, Saudi Arabia
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Department of Oral Pathology and Microbiology, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Sant-Tukaram Nagar, Pimpri, Pune 411018, India
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Department of Oral and Maxillofacial Sciences, Sapienza University, University of Rome, 00185 Rome, Italy
*
Author to whom correspondence should be addressed.
Clin. Pract. 2021, 11(2), 337-346; https://doi.org/10.3390/clinpract11020048
Received: 14 April 2021 / Revised: 19 May 2021 / Accepted: 24 May 2021 / Published: 1 June 2021
(1) Objective: To review the criteria proposed by Cerero-Lapiedra et al. and to retrospectively identify the under-diagnosed disease in patients diagnosed with proliferative verrucous leukoplakia. (2) Materials and methods: In this study, we included patients who were diagnosed with leukoplakia (histological label consistent with the clinical diagnosis, n = 95), and cases with a final diagnosis within the spectrum of proliferative verrucous leukoplakia (n = 110) as defined by Batsakis et al. We applied the criteria proposed by Cerero-Lepiedra et al. to screen for the possible cases of proliferative verrucous leukoplakia. (3) Results: Although many of our patients satisfied specific isolated criteria, only 11 cases satisfied specific combinations of the guidelines to satisfy a diagnosis of proliferative verrucous leukoplakia. However, due to the lack of follow-up data, the disease is not confirmed in these 11 cases. (4) Conclusion: A limited number of cases of proliferative verrucous leukoplakia were diagnosed using the criteria given by Cerero-Lapiedra et al. The true natural history of the disease could not be studied due to the lack of follow-up data. (5) Clinical relevance: Proliferative verrucous leukoplakia presenting as hyperkeratosis or mild epithelial dysplasia are often not followed up, and they subsequently transform into carcinoma. Thus, clinicians must be vigilant whenever they encounter leukoplakia, especially with multifocal presentations. In such cases, the follow-up data are the key to understanding the true nature of the disease entity. View Full-Text
Keywords: leukoplakia; oral disease; oral pathology; proliferative verrucous leukoplakia leukoplakia; oral disease; oral pathology; proliferative verrucous leukoplakia
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MDPI and ACS Style

Ghosh, S.; Rao, R.S.; Upadhyay, M.K.; Kumari, K.; Sanketh, D.S.; Raj, A.T.; Parveen, S.; Alhazmi, Y.A.; Jethlia, A.; Mushtaq, S.; Sarode, S.; Reda, R.; Patil, S.; Testarelli, L. Proliferative Verrucous Leukoplakia Revisited: A Retrospective Clinicopathological Study. Clin. Pract. 2021, 11, 337-346. https://doi.org/10.3390/clinpract11020048

AMA Style

Ghosh S, Rao RS, Upadhyay MK, Kumari K, Sanketh DS, Raj AT, Parveen S, Alhazmi YA, Jethlia A, Mushtaq S, Sarode S, Reda R, Patil S, Testarelli L. Proliferative Verrucous Leukoplakia Revisited: A Retrospective Clinicopathological Study. Clinics and Practice. 2021; 11(2):337-346. https://doi.org/10.3390/clinpract11020048

Chicago/Turabian Style

Ghosh, Snehashish; Rao, Roopa S.; Upadhyay, Manoj K.; Kumari, Karuna; Sanketh, D. S.; Raj, A. T.; Parveen, Sameena; Alhazmi, Yaser A.; Jethlia, Ankur; Mushtaq, Shazia; Sarode, Sachin; Reda, Rodolfo; Patil, Shankargouda; Testarelli, Luca. 2021. "Proliferative Verrucous Leukoplakia Revisited: A Retrospective Clinicopathological Study" Clin. Pract. 11, no. 2: 337-346. https://doi.org/10.3390/clinpract11020048

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