Proliferative verrucous leukoplakia PVL : A case report

Year 2013, Volume: 40 Issue: 2 - Volume: 40 Issue: 2, - , 01.05.2013

Naile Cura Serkan Dadakoğlu Uğur Gülşen M.emre Yurttutan Hüseyin Aslantürk Timur Songür

Abstract

Oral verrucous lesions, typically presenting as slowly enlarging, grey or white, warty, exophytic overgrowths on the buccal mucosa or gingiva may be verrucous carcinoma VC , verrucous hyperplasia VH , proliferative verrucous leukoplakia PVL , or may show the conventional invasive pattern of squamous cell carcinoma SCC . In our study we reported a case of PVL which is first described by Hansen et al in 1985. PVL is described as a continuum of hyperkeratotic disease, and is an unusual , multi-fokal, progressive form of oral leukoplakia with high malignant potential as well as mortality rates. We treated the patient with diode laser therapy because of its advantages i.e. reduced enfection risk, edema and post operative analgesia effect and elimination of tumor malformation tendency and less invasive approach versus conventional surgery techniques . Given the high tendency for oral squamous cell carcinomas OSCC to appear in these patients, they should be checked for life at least once every 6 months

Keywords

PVL, diode laser, leukoplakia

ORAL PROLøFERATøF VERRÜKÖZ LÖKOPLAZø: BøR VAKA RAPORU

Abstract

Oral verrüköz lezyonlar, genellikle yavaş ilerleyen, gri veya beyaz renkte, yanak mukozası ve dişetinde siğil şeklinde ekzofitik büyümelerdir. Verrüköz karsinoma VK , verrüköz hiperplazi VH , proliferatif verrüköz lökoplaki PVL veya invaziv skuamöz hücreli karsinom SHK şeklinde görülebilirler. Çalışmamızda, PVL tanisi konulan bir vaka raporunu sunmaktayiz. PVL ilk defa Hansen ve ark tarafindan aciklanmis bir lezyondur, hiperkeratotik hastalÕ÷Õn devamÕ olarak gözlenir. Az rastlanÕlan, multi-fokal, yüksek malign transformasyon potansiyeli olan oral lökoplaki çeúididir. Lezyon, avantajlarÕ nedeniyle diyot lazer kullanÕlarak tedavi edildi. Bu avantajlardan birkaçÕ úöyle sÕralanabilir: azalmiú enfeksiyon riski, ödem ve post-operatif a÷rÕ, malign transformasyon riskinin azalmasÕ, daha az invaziv bir yaklaúÕm olmasÕ gibi. PVL tanÕsÕ ile tedavi edilen hastalar malign transformasyon OSHK riski bulundu÷u için 6 ayda bir rutin kontrollere ça÷ÕrÕlmalÕdÕr

Keywords

ANAHTAR KELİMELER: PVL, diyot lazer, lökoplazi

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