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Published in: Odontology 2/2017

Open Access 01-04-2017 | Case Report

The onset risk of carcinoma in patients continuing tacrolimus topical treatment for oral lichen planus: a case report

Authors: Mayu Morita, Seiji Asoda, Kazuyuki Tsunoda, Tomoya Soma, Taneaki Nakagawa, Masayori Shirakawa, Hirofumi Shoji, Hisao Yagishita, Takeji Nishikawa, Hiromasa Kawana

Published in: Odontology | Issue 2/2017

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Abstract

Oral lichen planus is a chronic inflammatory mucocutaneous disease. Topical use of steroids and other immuno-modulating therapies have been tried for this intractable condition. Nowadays, tacrolimus ointment is used more commonly as a choice for treatment. However, a number of discussions have taken place after tacrolimus was reported to be carcinogenic. This report describes a patient who applied tacrolimus ointment to the lower lip after being diagnosed with oral lichen planus in 2008, and whose lesion developed squamous cell carcinoma in 2010. Since the relationship between tacrolimus and cancer development has been reported in only a few cases, including this case report, the clinician must be careful selecting tacrolimus as a second-line treatment for oral lichen planus.
Literature
1.
go back to reference Jayasri Krupaa R, Leena Sankari S, Masthan KMK, Rajesh E. Oral lichen planus: an overview. J Pharm Bioallied Sci. 2015;7:S158–61.PubMedPubMedCentral Jayasri Krupaa R, Leena Sankari S, Masthan KMK, Rajesh E. Oral lichen planus: an overview. J Pharm Bioallied Sci. 2015;7:S158–61.PubMedPubMedCentral
2.
go back to reference Silverman S Jr, Bahl S. Oral lichen planus update. Am J Dent. 1997;10:259–63.PubMed Silverman S Jr, Bahl S. Oral lichen planus update. Am J Dent. 1997;10:259–63.PubMed
3.
go back to reference Vente C, Reich K, Rupprect R, Neumann C. Erosive mucosal lichen planus: response to topical treatment with tacrolimus. Br J Dermatol. 1999;140:338–42.CrossRefPubMed Vente C, Reich K, Rupprect R, Neumann C. Erosive mucosal lichen planus: response to topical treatment with tacrolimus. Br J Dermatol. 1999;140:338–42.CrossRefPubMed
4.
go back to reference Kaliakatsou F, Hodgson TA, Lewsey JD, Hegarty AM, Murphy AG, Porter SR. Management of recalcitrant ulcerative oral lichen planus with topical tacrolimus. J Am Acad Dermatol. 2002;46:35–41.CrossRefPubMed Kaliakatsou F, Hodgson TA, Lewsey JD, Hegarty AM, Murphy AG, Porter SR. Management of recalcitrant ulcerative oral lichen planus with topical tacrolimus. J Am Acad Dermatol. 2002;46:35–41.CrossRefPubMed
5.
go back to reference Rozycki TW, Rogers RS 3rd, Pittelkow, McEvoy MT, el-Azhary RA, Bruce AJ, et al. Topical tacrolimus in the treatment of symptomatic oral lichen planus: a series of 13 patients. J Am Acad Dermatol. 2002;46:27–34.CrossRefPubMed Rozycki TW, Rogers RS 3rd, Pittelkow, McEvoy MT, el-Azhary RA, Bruce AJ, et al. Topical tacrolimus in the treatment of symptomatic oral lichen planus: a series of 13 patients. J Am Acad Dermatol. 2002;46:27–34.CrossRefPubMed
6.
go back to reference Mattsson U, Magnusson B, Jontell M. Squamous cell carcinoma in a patient with oral lichen planus treated with topical application of tacrolimus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110:19–25.CrossRef Mattsson U, Magnusson B, Jontell M. Squamous cell carcinoma in a patient with oral lichen planus treated with topical application of tacrolimus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110:19–25.CrossRef
7.
go back to reference Greaf IA, Mermelstein PG, Stankunas K, Neilsonb JR, Deisseroth K, Tsien RW, et al. L-Type calcium channels and GSK-3 regulate the activity of NF-ATc4 in hippocampal neurons. Nature. 1994;401:703–8.CrossRef Greaf IA, Mermelstein PG, Stankunas K, Neilsonb JR, Deisseroth K, Tsien RW, et al. L-Type calcium channels and GSK-3 regulate the activity of NF-ATc4 in hippocampal neurons. Nature. 1994;401:703–8.CrossRef
8.
go back to reference Shichiohe R, Shibaki A, Nishie W, Tateishi Y, Shimizu H. Successful treatment of severe recalcitrant erosive oral lichen planus with topical tacrolimus. J Eur Acad Dermatol Venereol. 2006;20:66–8.CrossRef Shichiohe R, Shibaki A, Nishie W, Tateishi Y, Shimizu H. Successful treatment of severe recalcitrant erosive oral lichen planus with topical tacrolimus. J Eur Acad Dermatol Venereol. 2006;20:66–8.CrossRef
9.
go back to reference Xue Jing-Ling, Fan Ming-Wen, Wang Shuo-Zhi, Chen Xin-Ming, Li Yuan, Wang Li. A clinical study of 674 patients with oral lichen planus in China. J Oral Pathol Med. 2005;34:467–72.CrossRefPubMed Xue Jing-Ling, Fan Ming-Wen, Wang Shuo-Zhi, Chen Xin-Ming, Li Yuan, Wang Li. A clinical study of 674 patients with oral lichen planus in China. J Oral Pathol Med. 2005;34:467–72.CrossRefPubMed
10.
go back to reference van der Meij EH, Mast H, van der Waal I. The possible premalignant character of oral lichen planus and oral lichenoid lesions: a prospective 5-year follow-up study of 192 patients. Oral Oncol. 2007;43:742–8.CrossRefPubMed van der Meij EH, Mast H, van der Waal I. The possible premalignant character of oral lichen planus and oral lichenoid lesions: a prospective 5-year follow-up study of 192 patients. Oral Oncol. 2007;43:742–8.CrossRefPubMed
11.
go back to reference Fitzpatrick SG, Honda KS, Sattar A, Hirsch SA. Histologic lichenoid features in oral dysplasia and squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2014;117:511–20.CrossRef Fitzpatrick SG, Honda KS, Sattar A, Hirsch SA. Histologic lichenoid features in oral dysplasia and squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2014;117:511–20.CrossRef
12.
go back to reference Morrison L, Kratochvil FJ 3rd, Gorman A. An open trial of topical tacrolimus for erosive oral lichen planus. J Am Acad Dermatol. 2002;47:617–20.CrossRefPubMed Morrison L, Kratochvil FJ 3rd, Gorman A. An open trial of topical tacrolimus for erosive oral lichen planus. J Am Acad Dermatol. 2002;47:617–20.CrossRefPubMed
13.
go back to reference Kershner RP, Fitzsimmons WE. Relationship of FK506 whole blood concentrations and efficacy and toxicity after liver and kidney transplantation. Transplanation. 1996;62:920–6.CrossRef Kershner RP, Fitzsimmons WE. Relationship of FK506 whole blood concentrations and efficacy and toxicity after liver and kidney transplantation. Transplanation. 1996;62:920–6.CrossRef
14.
go back to reference Fonacier L, Spergel J, Charlesworth EN, Weldon D, Beltrani V, Bernhisel-Broadbent J, et al. Report of the topical calcineurin inhibitor task force of the American College of Allergy, Asthma and Immunology and the American Academy of Allergy, Asthma and Immunology. J Allergy Immunol. 2005;115:6.CrossRef Fonacier L, Spergel J, Charlesworth EN, Weldon D, Beltrani V, Bernhisel-Broadbent J, et al. Report of the topical calcineurin inhibitor task force of the American College of Allergy, Asthma and Immunology and the American Academy of Allergy, Asthma and Immunology. J Allergy Immunol. 2005;115:6.CrossRef
15.
go back to reference Neill SM, Lewis FM, Tatnall FM, Cox NH. British Association of Dermatologists’ guidelines for the management of lichen sclerosus 2010. Br J Dermatol. 2010;163:672–82.CrossRefPubMed Neill SM, Lewis FM, Tatnall FM, Cox NH. British Association of Dermatologists’ guidelines for the management of lichen sclerosus 2010. Br J Dermatol. 2010;163:672–82.CrossRefPubMed
Metadata
Title
The onset risk of carcinoma in patients continuing tacrolimus topical treatment for oral lichen planus: a case report
Authors
Mayu Morita
Seiji Asoda
Kazuyuki Tsunoda
Tomoya Soma
Taneaki Nakagawa
Masayori Shirakawa
Hirofumi Shoji
Hisao Yagishita
Takeji Nishikawa
Hiromasa Kawana
Publication date
01-04-2017
Publisher
Springer Japan
Published in
Odontology / Issue 2/2017
Print ISSN: 1618-1247
Electronic ISSN: 1618-1255
DOI
https://doi.org/10.1007/s10266-016-0255-4

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