Oral submucous fibrosis a disease with malignant potential: report of two Cases
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Pundir, Siddharth; Saxena, Susmita; Aggarwal, Pooja
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Aquest document és un/a article, creat/da en: 2010
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Oral submucous fibrosis (OSF) is a high risk precancerous condition characterized by changes in the connective
tissue fibers of the lamina propria and deeper parts leading to stiffness of the mucosa and restricted mouth opening.
Patients with severe cases have distinct difficulties in chewing, swallowing and speaking. It predominantly occurs
in Indians and other population of the Indian subcontinent with certain oral habits. In patients with submucous
fibrosis, the oral epithelium becomes atrophic and thereby becomes more vulnerable to carcinogens. It is now
accepted that chewing areca is the most important aetiological factor for developing OSF. The atrophic epithelium
shows first an intercellular edema and later epithelial atypia associated with moderate epithelial hyperplasia. From
then on, carcinoma may develop any time. It is suggested that submucous fibrosis should be regarded as a condition
that causes predisposition to the development of oral cancer. Here we are presenting two cases of oral submucous
fibrosis showing malignant potential and development of oral squamous cell carcinoma.
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