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Published in: Comparative Clinical Pathology 4/2018

01-07-2018 | Original Article

Cytomorphometric analysis of exfoliated cells in patients with oral lichen planus

Authors: Fatemeh Lavaee, Ali Dehghani Nazhvani, Nasim Razavi

Published in: Comparative Clinical Pathology | Issue 4/2018

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Abstract

Lichen planus is a mucocutaneous chronic inflammatory lesion with a potential for malignant transformation. Exfoliative cytology is a cheaper and less aggressive method for early diagnosis. The study was conducted to evaluate cytomorphometric changes of exfoliated cells of oral lichen planus lesions. This case-control study was accomplished on 33 patients with oral lichen planus and 50 patients who did not have any lesions as the control group. Buccal mucosa cells which were provided by five to ten reciprocating motion of hard toothbrush with constant tolerable pressure were spread on a slide; then, the samples were fixed within an hour and stained with papanicolau method. The cytomorphometric parameters including the diameter of the nucleus (ND), the diameter of cytoplasm (CD), and nuclear-cytoplasmic diameter ratio of each cell were measured. Our findings showed a significant increase in nuclear diameter of case group cells and a significant decrease in cytoplasmic diameter of the same group; so, the N/C ratio in this group was clearly higher than the control group. Oral mucosa brush biopsy can be an inexpensive, sensitive, simple, and safe method of screening the dysplastic and malignant changes. It serves as an adjuvant method which is precise, objective, and repeatable.
Literature
go back to reference Acha-Sagredo A, Jiménez Y, Bagán J, Echebarria-Goicouria M, Aguirre-Urizar J (2011) Cytometric analysis of oral scrapings of patients with oral lichen planus. Cytopathology 22(2):106–110CrossRefPubMed Acha-Sagredo A, Jiménez Y, Bagán J, Echebarria-Goicouria M, Aguirre-Urizar J (2011) Cytometric analysis of oral scrapings of patients with oral lichen planus. Cytopathology 22(2):106–110CrossRefPubMed
go back to reference Amanat D, Ebrahimi H, Zahedani MZ, Zeini N, Pourshahidi S, Ranjbar Z (2014) Comparing the effects of cryotherapy with nitrous oxide gas versus topical corticosteroids in the treatment of oral lichen planus. Indian J Dent Res 25(6):711–716CrossRefPubMed Amanat D, Ebrahimi H, Zahedani MZ, Zeini N, Pourshahidi S, Ranjbar Z (2014) Comparing the effects of cryotherapy with nitrous oxide gas versus topical corticosteroids in the treatment of oral lichen planus. Indian J Dent Res 25(6):711–716CrossRefPubMed
go back to reference Cançado RP, Yurgel LS, Sant’Anna Filho M (2004) Comparative analyses between the smoking habit frequency and the nucleolar organizer region associated proteins in exfoliative cytology of smokers’ normal buccal mucosa. Tob Induc Dis 2(1):1CrossRef Cançado RP, Yurgel LS, Sant’Anna Filho M (2004) Comparative analyses between the smoking habit frequency and the nucleolar organizer region associated proteins in exfoliative cytology of smokers’ normal buccal mucosa. Tob Induc Dis 2(1):1CrossRef
go back to reference Cowpe J, Longmore R (1981) Nuclear area and Feulgen DNA content of normal buccal mucosal smears. J Oral Pathol Med 10(2):81–86CrossRef Cowpe J, Longmore R (1981) Nuclear area and Feulgen DNA content of normal buccal mucosal smears. J Oral Pathol Med 10(2):81–86CrossRef
go back to reference Davarmanesh M, Samsami Dehaghani A, Deilami Z, Monabbati A, Dastgheib L (2012) Frequency of genital involvement in women with oral lichen planus in southern Iran. Derm Res Pract 2012:1–6CrossRef Davarmanesh M, Samsami Dehaghani A, Deilami Z, Monabbati A, Dastgheib L (2012) Frequency of genital involvement in women with oral lichen planus in southern Iran. Derm Res Pract 2012:1–6CrossRef
go back to reference Diniz-Freitas M, García-García A, Crespo-Abelleira A, Martins-Carneiro J, Gándara-Rey J (2003) Applications of exfoliative cytology in the diagnosis of oral cancer. Medicina Oral: Organo oficial de la Sociedad Española de Medicina Oral y de la Academia Iberoamericana de Patología y Medicina Bucal 9(4):355–361 Diniz-Freitas M, García-García A, Crespo-Abelleira A, Martins-Carneiro J, Gándara-Rey J (2003) Applications of exfoliative cytology in the diagnosis of oral cancer. Medicina Oral: Organo oficial de la Sociedad Española de Medicina Oral y de la Academia Iberoamericana de Patología y Medicina Bucal 9(4):355–361
go back to reference Epstein JB, Wan LS, Gorsky M, Zhang L (2003) Oral lichen planus: progress in understanding its malignant potential and the implications for clinical management. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endodontol 96(1):32–37CrossRef Epstein JB, Wan LS, Gorsky M, Zhang L (2003) Oral lichen planus: progress in understanding its malignant potential and the implications for clinical management. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endodontol 96(1):32–37CrossRef
go back to reference Folsom TC, White CP, Bromer L, Canby HF, Garrington GE (1972) Oral exfoliative study: review of the literature and report of a three-year study. Oral Surg, Oral Med Oral Pathol 33(1):61–74CrossRef Folsom TC, White CP, Bromer L, Canby HF, Garrington GE (1972) Oral exfoliative study: review of the literature and report of a three-year study. Oral Surg, Oral Med Oral Pathol 33(1):61–74CrossRef
go back to reference Ghabanchi J, Fattahi MJ, Mardani M, Tadbir AA, Paydar AA (2009) Polymorphism of tumor protein P53 codon 72 showed no association with oral lichen planus in Shiraz, Iran. J Craniofac Surg 20(6):2168–2170CrossRefPubMed Ghabanchi J, Fattahi MJ, Mardani M, Tadbir AA, Paydar AA (2009) Polymorphism of tumor protein P53 codon 72 showed no association with oral lichen planus in Shiraz, Iran. J Craniofac Surg 20(6):2168–2170CrossRefPubMed
go back to reference GÖREGEN M, AKGÜL HM, GÜNDOĞDU C (2011) The cytomorphological analysis of buccal mucosa cells in smokers. Turkish J Med Sci 41(2):205–210 GÖREGEN M, AKGÜL HM, GÜNDOĞDU C (2011) The cytomorphological analysis of buccal mucosa cells in smokers. Turkish J Med Sci 41(2):205–210
go back to reference Hayes RL, Berg GW, Ross WL (1969) Oral cytology: its value and its limitations. J Am Dent Assoc 79(3):649–657CrossRefPubMed Hayes RL, Berg GW, Ross WL (1969) Oral cytology: its value and its limitations. J Am Dent Assoc 79(3):649–657CrossRefPubMed
go back to reference Hegde V (2011) Cytomorphometric analysis of squames from oral premalignant and malignant lesions. J Clin Exp Dent 3(5):e441–e444CrossRef Hegde V (2011) Cytomorphometric analysis of squames from oral premalignant and malignant lesions. J Clin Exp Dent 3(5):e441–e444CrossRef
go back to reference Jaafari-Ashkavandi Z, Mardani M, Pardis S, Amanpour S (2011) Oral mucocutaneous diseases: clinicopathologic analysis and malignant transformation. J Craniofac Surg. 22(3):949–951CrossRefPubMed Jaafari-Ashkavandi Z, Mardani M, Pardis S, Amanpour S (2011) Oral mucocutaneous diseases: clinicopathologic analysis and malignant transformation. J Craniofac Surg. 22(3):949–951CrossRefPubMed
go back to reference Jin Y, Yang L, White F (1995) Preliminary assessment of the epithelial nuclear-cytoplasmic ratio and nuclear volume density in human palatal lesions. J Oral Pathol Med 24(6):261–265CrossRefPubMed Jin Y, Yang L, White F (1995) Preliminary assessment of the epithelial nuclear-cytoplasmic ratio and nuclear volume density in human palatal lesions. J Oral Pathol Med 24(6):261–265CrossRefPubMed
go back to reference Joshi PS, S M K i (2013) Cytomorphometric analysis of oral premalignant and malignant lesions using Feulgen stain and exfoliative brush cytology. J Interdiscipl Histopathol 1(4):204–211CrossRef Joshi PS, S M K i (2013) Cytomorphometric analysis of oral premalignant and malignant lesions using Feulgen stain and exfoliative brush cytology. J Interdiscipl Histopathol 1(4):204–211CrossRef
go back to reference Khandelwal S, Solomon MC (2010) Cytomorphological analysis of keratinocytes in oral smears from tobacco users and oral squamous cell carcinoma lesions—a histochemical approach. Int J Oral Sci 2(1):45–52CrossRefPubMedPubMedCentral Khandelwal S, Solomon MC (2010) Cytomorphological analysis of keratinocytes in oral smears from tobacco users and oral squamous cell carcinoma lesions—a histochemical approach. Int J Oral Sci 2(1):45–52CrossRefPubMedPubMedCentral
go back to reference Khoo S-P, Primasari A, Saub R (2001) Nuclear and cellular volumetric alterations in oral lichen planus and lichenoid lesions: a histomorphometric study. J Oral Sci 43(3):151–157CrossRefPubMed Khoo S-P, Primasari A, Saub R (2001) Nuclear and cellular volumetric alterations in oral lichen planus and lichenoid lesions: a histomorphometric study. J Oral Sci 43(3):151–157CrossRefPubMed
go back to reference Lavaee F, Majd M (2016) Evaluation of the association between oral lichen planus and hypothyroidism: a retrospective comparative study. J Dent 17(1):38–42 Lavaee F, Majd M (2016) Evaluation of the association between oral lichen planus and hypothyroidism: a retrospective comparative study. J Dent 17(1):38–42
go back to reference Lavaee F, Ghapanchi J, Anjomruz A, Malekzadeh M. (2018) The evaluation of the serum level of IL-10 in OLP patients. Comp Clin Pathol :1–4 Lavaee F, Ghapanchi J, Anjomruz A, Malekzadeh M. (2018) The evaluation of the serum level of IL-10 in OLP patients. Comp Clin Pathol :1–4
go back to reference Mardani M, Ghabanchi J, Fattahi MJ, Tadbir AA (2012) Serum level of vascular endothelial growth factor in patients with different clinical subtypes of oral lichen planus. Iran J Med Sci 37(4):233–237PubMedPubMedCentral Mardani M, Ghabanchi J, Fattahi MJ, Tadbir AA (2012) Serum level of vascular endothelial growth factor in patients with different clinical subtypes of oral lichen planus. Iran J Med Sci 37(4):233–237PubMedPubMedCentral
go back to reference Moshaverinia M, Rezazadeh F, Dalvand F, Moshaverinia S, Samani S (2014) The relationship between oral lichen planus and blood group antigens. World J Med Sci 10:103–105 Moshaverinia M, Rezazadeh F, Dalvand F, Moshaverinia S, Samani S (2014) The relationship between oral lichen planus and blood group antigens. World J Med Sci 10:103–105
go back to reference Nivia M, Sunil SN, Rathy R, Anilkumar TV (2015) Comparative cytomorphometric analysis of oral mucosal cells in normal, tobacco users, oral leukoplakia and oral squamous cell carcinoma. J Cytol/Indian Acad Cytologists 32(4):253–260CrossRef Nivia M, Sunil SN, Rathy R, Anilkumar TV (2015) Comparative cytomorphometric analysis of oral mucosal cells in normal, tobacco users, oral leukoplakia and oral squamous cell carcinoma. J Cytol/Indian Acad Cytologists 32(4):253–260CrossRef
go back to reference Ramaesh T, Mendis B, Ratnatunga N, Thattil R (1999) Diagnosis of oral premalignant and malignant lesions using cytomorphometry. TROPICAL Dent J:23–28 Ramaesh T, Mendis B, Ratnatunga N, Thattil R (1999) Diagnosis of oral premalignant and malignant lesions using cytomorphometry. TROPICAL Dent J:23–28
go back to reference Reddy SG, Kanala S, Chigurupati A, Kumar SR, Poosarla CS, Reddy BVR (2012) The sensitivity and specificity of computerized brush biopsy and scalpel biopsy in diagnosing oral premalignant lesions: a comparative study. J Oral Maxillofac Pathol: JOMFP 16(3):349–353CrossRefPubMedPubMedCentral Reddy SG, Kanala S, Chigurupati A, Kumar SR, Poosarla CS, Reddy BVR (2012) The sensitivity and specificity of computerized brush biopsy and scalpel biopsy in diagnosing oral premalignant lesions: a comparative study. J Oral Maxillofac Pathol: JOMFP 16(3):349–353CrossRefPubMedPubMedCentral
go back to reference Rezazadeh F, Shahbazi F, Andisheh-Tadbir A (2017a) Evaluation of salivary level of IL-10 in patients with oral lichen planus, a preliminary investigation. Comp Clin Pathol 26(3):531–534CrossRef Rezazadeh F, Shahbazi F, Andisheh-Tadbir A (2017a) Evaluation of salivary level of IL-10 in patients with oral lichen planus, a preliminary investigation. Comp Clin Pathol 26(3):531–534CrossRef
go back to reference Rezazadeh F, Ebrahimi R, Andisheh-Tadbir A, Ashraf MJ, Khademi B (2017b) Evaluation of the Ki-67 and MCM3 expression in cytologic smear of oral squamous cell carcinoma. J Dent 18(3):207–211 Rezazadeh F, Ebrahimi R, Andisheh-Tadbir A, Ashraf MJ, Khademi B (2017b) Evaluation of the Ki-67 and MCM3 expression in cytologic smear of oral squamous cell carcinoma. J Dent 18(3):207–211
go back to reference Sankhla B, Shah S,Madhusudhan AS , Bhagat P.(2010) Exfoliative cytology of oral mucosa: cytomorphometric analysis of diabetic patients J Oral Sign 2(2) Sankhla B, Shah S,Madhusudhan AS , Bhagat P.(2010) Exfoliative cytology of oral mucosa: cytomorphometric analysis of diabetic patients J Oral Sign 2(2)
go back to reference Sivapathasundharam B, Kalasagar M (2004) Yet another article on exfoliative cytology. J Oral Maxillofac Pathol 8(2):54 Sivapathasundharam B, Kalasagar M (2004) Yet another article on exfoliative cytology. J Oral Maxillofac Pathol 8(2):54
go back to reference Sudbø J, Kildal W, Risberg B, Koppang HS, Danielsen HE, Reith A (2001a) DNA content as a prognostic marker in patients with oral leukoplakia. N Engl J Med 344(17):1270–1278CrossRefPubMed Sudbø J, Kildal W, Risberg B, Koppang HS, Danielsen HE, Reith A (2001a) DNA content as a prognostic marker in patients with oral leukoplakia. N Engl J Med 344(17):1270–1278CrossRefPubMed
go back to reference Sudbø J, Ried T, Bryne M, Kildal W, Danielsen H, Reith A (2001b) RETRACTED: abnormal DNA content predicts the occurrence of carcinomas in non-dysplastic oral white patches. Oral Oncol 37(7):558–565CrossRefPubMed Sudbø J, Ried T, Bryne M, Kildal W, Danielsen H, Reith A (2001b) RETRACTED: abnormal DNA content predicts the occurrence of carcinomas in non-dysplastic oral white patches. Oral Oncol 37(7):558–565CrossRefPubMed
go back to reference Sudbø J, Lippman SM, Lee JJ, Mao L, Kildal W, Sudbø A, Sagen S, Bryne M, el-Naggar A, Risberg B, Evensen JF, Reith A (2004) The influence of resection and aneuploidy on mortality in oral leukoplakia. N Engl J Med 350(14):1405–1413CrossRefPubMed Sudbø J, Lippman SM, Lee JJ, Mao L, Kildal W, Sudbø A, Sagen S, Bryne M, el-Naggar A, Risberg B, Evensen JF, Reith A (2004) The influence of resection and aneuploidy on mortality in oral leukoplakia. N Engl J Med 350(14):1405–1413CrossRefPubMed
go back to reference Sudbø J, Ried T, Bryne M, Kildal W, Danielsen H, Reith A. Retraction notice to ‘abnormal DNA content predicts the occurrence of carcinomas in non-dysplastic oral white patches’[oral Oncol. 37 (2001) 558–565]. Oral Oncol 2007;43(4):418 Sudbø J, Ried T, Bryne M, Kildal W, Danielsen H, Reith A. Retraction notice to ‘abnormal DNA content predicts the occurrence of carcinomas in non-dysplastic oral white patches’[oral Oncol. 37 (2001) 558–565]. Oral Oncol 2007;43(4):418
go back to reference Teja C, Devy AS, Nirmal RM, Sunil P, Deepasree M (2014) Cytomorphometric analysis of exfoliated cells in oral lichen planus. CytoJournal 11(1):3CrossRefPubMedCentral Teja C, Devy AS, Nirmal RM, Sunil P, Deepasree M (2014) Cytomorphometric analysis of exfoliated cells in oral lichen planus. CytoJournal 11(1):3CrossRefPubMedCentral
go back to reference Venkatesiah SS, Kale AD, Hallikeremath SR, Kotrashetti VS (2013) Histomorphometric analysis of nuclear and cellular volumetric alterations in oral lichen planus, lichenoid lesions and normal oral mucosa using image analysis software. Indian J Dent Res 24(2):277CrossRefPubMed Venkatesiah SS, Kale AD, Hallikeremath SR, Kotrashetti VS (2013) Histomorphometric analysis of nuclear and cellular volumetric alterations in oral lichen planus, lichenoid lesions and normal oral mucosa using image analysis software. Indian J Dent Res 24(2):277CrossRefPubMed
go back to reference Verma R, Singh A, Badni M, Chandra A, Gupta S, Verma R (2015) Evaluation of exfoliative cytology in the diagnosis of oral premalignant and malignant lesions: a cytomorphometric analysis. Dental Res J 12(1):83–88CrossRef Verma R, Singh A, Badni M, Chandra A, Gupta S, Verma R (2015) Evaluation of exfoliative cytology in the diagnosis of oral premalignant and malignant lesions: a cytomorphometric analysis. Dental Res J 12(1):83–88CrossRef
go back to reference Weigum SE, Floriano PN, Redding SW, Yeh C-K, Westbrook SD, McGuff HS et al (2010) Nano-bio-chip sensor platform for examination of oral exfoliative cytology. Cancer Prev Res 3(4):518–528CrossRef Weigum SE, Floriano PN, Redding SW, Yeh C-K, Westbrook SD, McGuff HS et al (2010) Nano-bio-chip sensor platform for examination of oral exfoliative cytology. Cancer Prev Res 3(4):518–528CrossRef
Metadata
Title
Cytomorphometric analysis of exfoliated cells in patients with oral lichen planus
Authors
Fatemeh Lavaee
Ali Dehghani Nazhvani
Nasim Razavi
Publication date
01-07-2018
Publisher
Springer London
Published in
Comparative Clinical Pathology / Issue 4/2018
Print ISSN: 1618-5641
Electronic ISSN: 1618-565X
DOI
https://doi.org/10.1007/s00580-018-2703-8

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