ArticleJournal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology2025
A Clinicopathological Study of Marginal Gingival Leukoplakia.
Article in Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Intraosseous Atypical Verrucopapillary Epithelial Proliferation with Verrucous Carcinoma Features Evolving from a Keratinizing Odontogenic Cyst: Report of an Uncommon Variant and Review of the Literature.Head and neck pathology · 2026Review
- A Clinicopathological Study of Marginal Gingival Leukoplakia.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2025Article
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6 authors.
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Abstract
backgroundMarginal gingival leukoplakias are relatively uncommon and rarely discussed in the scientific literature. Studies suggest they are distinct from other leukoplakias due to aggressive behavior and a strong association with proliferative verrucous leukoplakia. This study aimed to evaluate the clinicopathological characteristics of patients diagnosed with marginal gingival lesions.
methodsThis retrospective study analyzed 32 patients diagnosed with marginal gingival leukoplakia. Clinicopathological data were extracted. K-means clustering and principal component analyses identified subgroups within the dataset. Histopathological findings were assessed by two oral pathologists using World Health Organization criteria for grading oral epithelial dysplasia.
resultsThe lesions predominantly affected older individuals (mean age: 60.4 years), 16 men and 16 women, and exhibited multifocality in 75% of cases. Proliferative verrucous leukoplakia was diagnosed in 24 patients (75%), and most lesions were homogeneous (84.4%). Thirteen patients were treated (three scalpel, eight laser, two both), while 19 underwent "wait and see." Over a 95.4-month average follow-up, 11 recurrences (73.3%) were noted: four after scalpel (80%) and seven after laser excision (70%). Malignant transformation occurred in three cases. The most common histopathological feature was hyperkeratosis (n = 24), and eight cases showed mild, one moderate, and two severe epithelial dysplasia. Cluster analysis revealed five subgroups.
conclusionMarginal gingival leukoplakias demonstrate significant heterogeneity but seem to be strongly associated with proliferative verrucous leukoplakia. Recurrence is a common outcome, and laser excision might be a better option for lesion control. Close monitoring remains essential for early intervention and improved outcomes.
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