Diagnosed with oral lichen planus Dr. said no need of biopsy can it lead to cancer ,what are the chances? I am having burning ulcers below the lower lip. Is biopsy necessary.

Question

Hi. Usually not necessary. But if burning sensation then get a biopsy done
Regards.

M. R. Pujari · Accepted Answer

Hi. Usually not necessary. But if burning sensation then get a biopsy done
Regards.

Nikhilesh Borkar · Answer

Lichen planus is a chronic inflammatory disorder of skin and mucous membranes. Oral Lichen planusis a mucosal subtype that most commonly occurs in middle-aged adults. Oral lichen planus has three clinical subtypes: reticular - most common with white striae, erythematous - with red patches and seen along with reticular striae and erosive - which has ulcers and is seen with both reticular and erythematous patterns. Isolated reticular pattern is seen in about 20- 25% cases and is asymptotic. In 75-80% it is usually accompanied by the ulcers or red patches, which cause pain. Biopsy of oral lichen planus help to confirm the diagnosis especially the erythematous and erosive types, especially to differentiate from oral malignancy. Biopsies is less necessary in classic reticular pattern, particularly if biopsy of a cutaneous lesion has confirmed the same. Asymptotic reticular pattern usually does not require any treatment, just avoid any irritants or trauma to avoid exacerbation. As there is no cure, the main goal of treatment is symptom relief. If symptomatic then Topical corticosteroids are the first line of treatment. The chances of cancer are 0.4 -5 percent, especially in the erosive or erythematous ones. Hence a follow up every 6 monthly is recommended to detect cancer early, so that it can be cured.

Facets · Answer

Treatment for leukoplakia, if needed, involves removing the source of irritation. If leukoplakia is caused by a rough tooth or an irregular surface on a denture or a filling, the tooth will be smoothed and dental appliances repaired. If leukoplakia is caused by smoking, you will be asked to minimize or stop smoking or using other tobacco products. Leukoplakia is usually harmless, and lesions usually clear in a few weeks or months after the source of irritation is removed. If eliminating the source of irritation is ineffective in reducing leukoplakia, the lesion may need to be surgically removed. The lesion can be removed either by an oral surgeon.