Evidence map›Paper›PMID 39015120›Full record

ArticleCase reports in dentistry2024

Proliferative Verrucous Leukoplakia: A Diagnostic Challenge in a Clinical and Histopathological Context-With Reflections on the Health Reality in Brazil.

Michele Di Benedetto, Gabriela de Figueiredo Meira, Milena Martins da Rocha, Mariel Ruivo Biancardi, Jéssica Barroso Barbosa, Jeconias Câmara, Gerson de Oliveira Paiva Neto, Roberto Luiz de Menezes Martinho, Cássia Maria Fischer Rubira, Silvia Helena de Carvalho Sales Peres

Abstract readCase Reports
In one paragraph

Article in Case reports in dentistry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Michele Di BenedettoDepartment of Surgery Stomatology Pathology and Radiology Bauru School of Dentistry of São Paulo University FOB-USP, Alameda Dr. Octávio Pinheiro Brisolla, 9-75, Vila Regina, Bauru, SP 17012-230, Brazil.ORCID https://orcid.org/0000-0003-1532-0245
Gabriela de Figueiredo MeiraDepartment of Pediatric Dentistry Orthodontics and Public Health Bauru School of Dentistry of São Paulo University FOB-USP, Alameda Dr. Octávio Pinheiro Brisolla, Block 9, Jardim Brasil, Bauru, SP 17012-901, Brazil.ORCID https://orcid.org/0000-0002-8285-8769
Milena Martins da RochaSchool of Dentistry of FAMETRO Metropolitan University of Manaus FAMETRO, Av. Constantino Nery, n° 3000, Chapada, Manaus, AM 69050-000, Brazil.ORCID https://orcid.org/0009-0008-0471-6694
Mariel Ruivo BiancardiDepartment of Surgery Stomatology Pathology and Radiology Bauru School of Dentistry of São Paulo University FOB-USP, Alameda Dr. Octávio Pinheiro Brisolla, 9-75, Vila Regina, Bauru, SP 17012-230, Brazil.ORCID https://orcid.org/0000-0001-6766-642X
Jéssica Barroso BarbosaSchool of Dentistry of FAMETRO Metropolitan University of Manaus FAMETRO, Av. Constantino Nery, n° 3000, Chapada, Manaus, AM 69050-000, Brazil.ORCID https://orcid.org/0009-0004-5459-8076
Jeconias CâmaraDepartment of Pathology and Legal Medicine of Amazonas Federal University FM-UFAM, Avenida Apurinã, n° 4, Praça 14 de Janeiro, Manaus, AM 69020-170, Brazil.ORCID https://orcid.org/0000-0001-7260-0900
Gerson de Oliveira Paiva NetoSchool of Medicine of Amazonas Federal University UFAM-ISB, Estr. Coari/Mamiá, n° 305, Espírito Santo, Coari, AM 69460-000, Brazil.ORCID https://orcid.org/0000-0001-5086-2854
Roberto Luiz de Menezes MartinhoDepartment of Pathology and Legal Medicine of Amazonas Federal University FM-UFAM, Avenida Apurinã, n° 4, Praça 14 de Janeiro, Manaus, AM 69020-170, Brazil.ORCID https://orcid.org/0000-0002-0854-5190
Cássia Maria Fischer RubiraDepartment of Surgery Stomatology Pathology and Radiology Bauru School of Dentistry of São Paulo University FOB-USP, Alameda Dr. Octávio Pinheiro Brisolla, 9-75, Vila Regina, Bauru, SP 17012-230, Brazil.ORCID https://orcid.org/0000-0003-2119-1144
Silvia Helena de Carvalho Sales PeresDepartment of Pediatric Dentistry Orthodontics and Public Health Bauru School of Dentistry of São Paulo University FOB-USP, Alameda Dr. Octávio Pinheiro Brisolla, Block 9, Jardim Brasil, Bauru, SP 17012-901, Brazil.ORCID https://orcid.org/0000-0003-3811-7899

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proliferative verrucous leukoplakia (PVL) is an aggressive and distinct oral disorder with a high potential for malignant transformation (MT). It presents as multifocal lesions that progress over time and frequently recur, often developing carcinomas. Accurately diagnosing PVL is crucial to distinguish it from other oral mucosa lesions that have a lower risk of cancer progression. However, due to the diverse histological features observed in PVL, identifying clinical criteria and histological patterns that can be applied by unfamiliar professionals is challenging. In this study, we present a case of PVL associated with dysplasia in a 53-year-old female patient. The patient exhibited macular and leukoplakic nonscrapable lesions disseminated throughout the oral cavity, with continuous growth. The diagnosis of PVL was established during an 18-month follow-up. This case highlights the difficulties faced by both clinicians and pathologists in diagnosing PVL, emphasizing the need for careful evaluation and accurate diagnosis, particularly in patients with unusual oral lesions, and highlighting the discrepancies observed in the application of available protocols to our particular case. Distinguishing PVL from similar conditions can be challenging due to overlapping clinical signs and indistinct histopathological features.

Identifiers

PMID39015120
PMCPMC11250689

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.