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Background: Deregulation of β-catenin is associated with malignant transformation; however, its relationship with
potentially malignant and malignant oral processes is not fully understood. The aim of this study was to determine
and compare the nuclear β-catenin expression in oral dysplasia and oral squamous cell carcinoma (OSCC).
Material and Methods: Cross sectional study. Immunodetection of β-catenin was performed on 72 samples, with
the following distribution: 21 mild dysplasia, 12 moderate dysplasia, severe dysplasia 3, 36 OSCC including 19
well differentiated, 15 moderately differentiated and 2 poorly differentiated. Through microscopic observation
the number of positive cells per 1000 epithelial cells was counted. For the statistical analysis, the Kruskal Wallis
test was used.
Results: Nuclear expression of β-catenin was observed in all samples with severe and moderate dysplasia, with a
median of 267.5, in comparison to mild dysplasia whose median was 103.75. Only 10 samples (27.7%) with OSCC
showed nuclear expression, with statistically significant differences between groups (
p
< 0.05).
Conclusions: Our results are consistent with most of the reports which show increased presence of β-catenin in
severe and moderate dysplasia compared to mild dysplasia; however the expression of nuclear β-catenin decreased
after starting the invasive neoplastic process. This suggests a role for this protein in the progression of dysplasia
and early malignant transformation to OSCC. Immunodetection of β-catenin could be a possible immune marker
in the detection of oral dysplasia
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