Abstract
The Malignant Transformation of Oral Lichen Planus and Oral Lichenoid Lesions, a Case Report and Review of the Literature
Highlights
Oral lichen planus (OLP) and oral lichenoid lesions (OLL) have generated a lot of debate in the literature
Oral lichenoid lesions (OLL) has been described as an oral lichenoid reaction or lichenoid contact stomatitis
Both OLL and OLP can develop superimposed candidiasis which partially could be due to the chronic use of topical steroids
Summary
Oral lichen planus (OLP) and oral lichenoid lesions (OLL) have generated a lot of debate in the literature. Since some features were suggestive of OLL, possible irritants to the oral mucosa were discussed and a new diet plan was recommended She was prescribed antifungal rinse and Lidex 0.05% as a topical steroid. The patient emphasized maintaining the same regimen she was given in 2012 which included diet, oral hygiene instructions, and applications of the Lidex topical steroid Another cytology was done and was again, strongly positive for candida. In September 2015 she returned for a re-check and the exam showed diffuse erythema with small white, new keratotic growth on the upper right gingiva. The patient was checked periodically at the oral pathology clinic Her features remained mild and no major changes were noticed. In September 2018, area of upper right gingiva showed new growth and the result of the biopsy was, “secondary invasive cancer, squamous cell carcinoma.”. Recurrent squamous cell carcinoma at previous surgical site in September, 2018
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