PMID- 27759902 OWN - NLM STAT- MEDLINE DCOM- 20171011 LR - 20171011 IS - 1601-0825 (Electronic) IS - 1354-523X (Linking) VI - 23 IP - 2 DP - 2017 Mar TI - Histopathologic features in actinic cheilitis by the comparison of grading dysplasia systems. PG - 219-224 LID - 10.1111/odi.12597 [doi] AB - OBJECTIVE: This study aimed to determine the histopathologic findings in actinic cheilitis (AC) and lip squamous cell carcinomas (LSCC) diagnosed at Federal University of Santa Catarina in order to attempt to predict the evolution from AC to LSCC based on the comparison of two dysplasia classification systems. METHODS: Histopathologic features were evaluated according to the World Health Organization classification of dysplasia and binary system of classification. Also, in LSCC, pattern, stage of invasion, and degree of keratinization were evaluated. A total of 58 cases of AC and 70 cases of LSCC were studied, and data correlation was performed using statistical analysis. RESULTS: The presence of dyskeratosis and keratin pearls was found to be strongly associated with severe dysplasia and could represent higher proximity between the severe dysplasia in AC and LSCC. Also, changes related to the nuclei, such as hyperchromasia, nuclear pleomorphism, anisonucleosis, increase in the number and size of nucleoli, increased number of mitoses, and atypical mitoses, indicate progression in dysplasia spectrum. CONCLUSION: Knowledge of clinical and histological features of AC and LSCC leads to better understanding of factors possibly associated with malignant transformation of epithelial dysplasia. CI - (c) 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Pilati, Sfm AU - Pilati S AD - Odontology, Health Sciences Center, Vale do Itajai University, Itajai, Brazil. FAU - Bianco, B C AU - Bianco BC AD - Odontology, Health Sciences Center, Vale do Itajai University, Itajai, Brazil. FAU - Vieira, Dsc AU - Vieira D AD - Anatomical Pathology Service, Department of Pathology, Federal University of Santa Catarina, Florianopolis, Brazil. FAU - Modolo, F AU - Modolo F AD - Oral Pathology Laboratory, Department of Pathology, Federal University of Santa Catarina, Florianopolis, Brazil. LA - eng PT - Journal Article DEP - 20161128 PL - Denmark TA - Oral Dis JT - Oral diseases JID - 9508565 RN - Actinic cheilitis MH - Carcinoma, Squamous Cell/*pathology MH - Cell Nucleolus/pathology MH - Cell Nucleus/pathology MH - Cell Transformation, Neoplastic MH - Cheilitis/classification/*pathology MH - Humans MH - Lip Neoplasms/*pathology MH - Mitotic Index MH - Neoplasm Staging OTO - NOTNLM OT - World Health Organization OT - actinic cheilitis OT - binary OT - classification OT - epithelial dysplasia OT - squamous cell carcinoma EDAT- 2016/10/21 06:00 MHDA- 2017/10/12 06:00 CRDT- 2016/10/21 06:00 PHST- 2016/08/16 00:00 [received] PHST- 2016/10/03 00:00 [revised] PHST- 2016/10/13 00:00 [accepted] PHST- 2016/10/21 06:00 [pubmed] PHST- 2017/10/12 06:00 [medline] PHST- 2016/10/21 06:00 [entrez] AID - 10.1111/odi.12597 [doi] PST - ppublish SO - Oral Dis. 2017 Mar;23(2):219-224. doi: 10.1111/odi.12597. Epub 2016 Nov 28.