Abstract
Oral lichen planus (OLP) is a chronic inflammatory mucocutaneous disease that frequently involves the oral mucosa. The authors report a long-term follow-up of a case which presented clinically as lichen planus with apparently benign features but histologically exhibited features of early invasive squamous cell carcinoma. Although a common lesion, the matter concerning malignant potential of OLP and its differentiation from lichenoid reaction still remains unresolved. There is no universally accepted, documented, and approved modality of treatment to prevent the occurrence of cancer development and also literature search reveals no standard methods which can predict cancer development of potentially malignant disorders. Hence every reported case should be well documented. This case report emphasizes the need for histological confirmation, with continuous monitoring 3-6 times annually of clinical lesions that have lichenoid features.
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