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Published in: Current Oral Health Reports 1/2019

Open Access 01-03-2019 | Leukoplakia | Systemic Diseases (N Buduneli, Section Editor)

Oral Leukoplakia: Present Views on Diagnosis, Management, Communication with Patients, and Research

Author: Isaäc van der Waal

Published in: Current Oral Health Reports | Issue 1/2019

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Abstract

Leukoplakia is a predominantly white lesion of the oral mucosa that carries an increased risk of malignant transformation.

Purpose of Review

(1) To provide insight into the difficulties in arriving at a proper diagnosis, (2) to evaluate the latest research on (bio) markers that may have predictive value with regard to the risk of malignant transformation, and (3) to evaluate the latest research on how patients with oral leukoplakia should be managed.

Recent Findings

Research on oral leukoplakia is still very much hampered, mainly because of the rather poor definition. No new (bio)markers have become available that reliably would predict malignant transformation. Surgical and nonsurgical treatments have still not yet been proven to be effective in preventing such transformation.

Summary

Only after having solved the shortcomings in the definition and the lack of uniform reporting problem proper, randomized controlled studies on the various aspects of oral leukoplakia can be performed.
Literature
1.
go back to reference Warnakulasuriya S, Johnson NW, van der Waal I. Nomenclature and classification of potentially malignant disorders of the oral mucosa. J Oral Pathol Med. 2007;36(10):575–80.CrossRef Warnakulasuriya S, Johnson NW, van der Waal I. Nomenclature and classification of potentially malignant disorders of the oral mucosa. J Oral Pathol Med. 2007;36(10):575–80.CrossRef
2.
go back to reference van der Waal I. Historical perspective and nomenclature of potentially malignant or potentially premalignant oral epithelial lesions with emphasis on oral leukoplakia; some suggestions for modifications. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125(6):577–81.CrossRef van der Waal I. Historical perspective and nomenclature of potentially malignant or potentially premalignant oral epithelial lesions with emphasis on oral leukoplakia; some suggestions for modifications. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125(6):577–81.CrossRef
3.
go back to reference Nikitakis NG, Pentenero M, Georgaki M, Poh CF, Peterson DE, Edwards P, et al. Molecular markers associated with development and progression of potentially premalignant oral epithelial lesions: Current knowledge and future implications. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125(6):650–69.CrossRef Nikitakis NG, Pentenero M, Georgaki M, Poh CF, Peterson DE, Edwards P, et al. Molecular markers associated with development and progression of potentially premalignant oral epithelial lesions: Current knowledge and future implications. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125(6):650–69.CrossRef
4.
go back to reference Holmstrup P, Vedtofte P, Reibel J, Stoltze K. Oral premalignant lesions; is a biopsy reliable? J Oral Pathol Med. 2007;36(5):262–6.CrossRef Holmstrup P, Vedtofte P, Reibel J, Stoltze K. Oral premalignant lesions; is a biopsy reliable? J Oral Pathol Med. 2007;36(5):262–6.CrossRef
6.
go back to reference Holmstrup P, Dabelsteen E. Oral leukoplakia; to treat or not to treat. Oral Dis. 2016;22(6):494–7.CrossRef Holmstrup P, Dabelsteen E. Oral leukoplakia; to treat or not to treat. Oral Dis. 2016;22(6):494–7.CrossRef
7.
go back to reference Vladimirov BS, Schiødt M. The effect of quitting smoking on the risk of unfavorable events after surgical treatment of oral potentially malignant lesions. Int J Oral Maxillofac Surg. 2009;38(11):1188–93.CrossRef Vladimirov BS, Schiødt M. The effect of quitting smoking on the risk of unfavorable events after surgical treatment of oral potentially malignant lesions. Int J Oral Maxillofac Surg. 2009;38(11):1188–93.CrossRef
8.
go back to reference Brouns ER, Baart JA, Bloemena E, Karagozoglu H, van der Waal I. The relevance of uniform reporting in oral leukoplakia: definition, certainty factor and staging based on experience with 275 patients. Med Oral PatoRl Oral Cir Bucal. 2013;18(1):e19–26.CrossRef Brouns ER, Baart JA, Bloemena E, Karagozoglu H, van der Waal I. The relevance of uniform reporting in oral leukoplakia: definition, certainty factor and staging based on experience with 275 patients. Med Oral PatoRl Oral Cir Bucal. 2013;18(1):e19–26.CrossRef
9.
go back to reference Miller AB, Hoogstraten B, Staquet M, Winkler A. Reporting results of cancer treatment. Cancer. 1981;47(1):207–14.CrossRef Miller AB, Hoogstraten B, Staquet M, Winkler A. Reporting results of cancer treatment. Cancer. 1981;47(1):207–14.CrossRef
Metadata
Title
Oral Leukoplakia: Present Views on Diagnosis, Management, Communication with Patients, and Research
Author
Isaäc van der Waal
Publication date
01-03-2019
Publisher
Springer International Publishing
Published in
Current Oral Health Reports / Issue 1/2019
Electronic ISSN: 2196-3002
DOI
https://doi.org/10.1007/s40496-019-0204-8

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