1. Tissue Fluorescence Imaging (VELscope) for Quick Non-Invasive Diagnosis in Oral Pathology
- Author
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Luigi Laino, Marco Cicciù, Floriana Lauritano, Giuseppe Troiano, Gabriele Cervino, Alan S. Herford, Cicciã¹, Marco, Herford, Alan Scott, Cervino, Gabriele, Troiano, Giuseppe, Lauritano, Floriana, and Laino, Luigi
- Subjects
Pathology ,medicine.medical_specialty ,Point-of-Care Systems ,Quick diagnosi ,Oral pathology ,Malignancy ,Malignant transformation ,Lesion ,03 medical and health sciences ,0302 clinical medicine ,Oral and maxillofacial pathology ,medicine ,Carcinoma ,Humans ,Survival rate ,Early Detection of Cancer ,Mouth neoplasm ,business.industry ,Otorhinolaryngology2734 Pathology and Forensic Medicine ,Optical Imaging ,Oral disease ,Tissue fluorescence image ,Histology ,030206 dentistry ,General Medicine ,Middle Aged ,medicine.disease ,Surgery ,Otorhinolaryngology ,030220 oncology & carcinogenesis ,Carcinoma, Squamous Cell ,Female ,Mouth Neoplasms ,medicine.symptom ,business - Abstract
Oral squamous cell carcinoma is the most common form of malignancy of the oral cavity; its incidence is increasing and latestage presentation is common. It is usually predated by oral premalignant disorders. For this reason, early diagnosis is fundamental to reduce the malignant transformation of oral premalignant disorders and for increase the survival rate for oral cancer. Scraping the surface of the lesion is useful for having cytological features of the investigated tissue. The features of smears of oral premalignant lesions are the keratinization growth (red, orange, brown), the increased nuclear area and so the nuclear hyperchromatism, the nuclear pleomorphism, and the chromatin clumping. All those features are essential for doing the right diagnosis. However, the oral disease should be recognized at the first view by the clinical investigation without touching the lesions avoiding possible alteration in the cells of the tissue. The current standard of incisional biopsy with histology is painful for patients and involves a delay, although histology is completed. The aim of this article is to evaluate the effectiveness of other available tests that are unobtrusive and provide immediate results like the tissue fluorescence imaging. Oral squamous cell carcinoma is the most common form of malignancy of the oral cavity; its incidence is increasing and late-stage presentation is common. It is usually predated by oral premalignant disorders. For this reason, early diagnosis is fundamental to reduce the malignant transformation of oral premalignant disorders and for increase the survival rate for oral cancer. Scraping the surface of the lesion is useful for having cytological features of the investigated tissue. The features of smears of oral premalignant lesions are the keratinization growth (red, orange, brown), the increased nuclear area and so the nuclear hyperchromatism, the nuclear pleomorphism, and the chromatin clumping. All those features are essential for doing the right diagnosis. However, the oral disease should be recognized at the first view by the clinical investigation without touching the lesions avoiding possible alteration in the cells of the tissue. The current standard of incisional biopsy with histology is painful for patients and involves a delay, although histology is completed. The aim of this article is to evaluate the effectiveness of other available tests that are unobtrusive and provide immediate results like the tissue fluorescence imaging.
- Published
- 2017
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