PMID- 34221103 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220424 IS - 0974-5963 (Print) IS - 1742-6413 (Electronic) IS - 1742-6413 (Linking) VI - 18 DP - 2021 TI - A comparative study for qualitative and quantitative analysis of light and fluorescence microscopy stains in oral premalignant and malignant lesions. PG - 14 LID - 10.25259/Cytojournal_39_2020 [doi] LID - 14 AB - OBJECTIVES: The present study highlights the use and benefit of fluorescence microscopy stains in easy diagnosis of oral premalignant and malignant lesions. This study was carried out to evaluate the efficiency of light microscopy using Papanicolaou stain (PAP) and May Grunwald Giemsa (MGG) stains and fluorescence microscopy using acridine orange (AO) and 4',6-diamidino-2-phenyl indole (DAPI) stains. All smears have been qualitatively and quantitatively analyzed in premalignant and malignant lesions using cytology and cytomorphometry. MATERIALS AND METHODS: The subjects included in this study were selected from patients suffering from premalignant and clinically suspicious malignant lesions. Specimens were collected from the most representative site in study groups and normal buccal mucosa in the control group. The smears were evaluated under fluorescence microscopy for AO and DAPI and under light microscopy for conventional PAP and MGG. We studied 5 HPF to compare the number of normal cells to dysplastic cells. These were then subjected for cytomorphometric and statistical analysis. RESULTS: Assessment of quality using quality index revealed that PAP has better diagnostic efficiency as compared to MGG because the quality index of PAP was 0.87 and that of MGG was 0.74, the quality index of AO was 0.9, and that of DAPI was found to be 0.82, hence proving AO to be better in comparison with DAPI. CONCLUSION: We found that among all the four stains used AO is reliable, has greater efficacy, and can be easily performed with less cost. Despite the difficulties mentioned in this study, the progress in the field of fluorescence microscopy is expected to be rapid in the following years. CI - (c) 2021 Cytopathology Foundation Inc, Published by Scientific Scholar. FAU - Warke, Darshana Jayant AU - Warke DJ AD - Department of Oral and Maxillofacial Pathology, Vedantaa Institute of Medical Sciences, Mumbai, Maharashtra, India. FAU - Khot, Komal Paresh AU - Khot KP AD - Department of Oral Pathology, YMT Dental College, Mumbai, Maharashtra, India. LA - eng PT - Journal Article DEP - 20210618 PL - United States TA - Cytojournal JT - CytoJournal JID - 101231642 PMC - PMC8247698 OTO - NOTNLM OT - 4' OT - 6-diamidino-2-phenyl indole OT - Acridine orange OT - Fluorescence microscopy OT - Premalignant conditions OT - Premalignant lesions COIS- No competing interests. EDAT- 2021/07/06 06:00 MHDA- 2021/07/06 06:01 PMCR- 2021/06/18 CRDT- 2021/07/05 10:02 PHST- 2020/06/11 00:00 [received] PHST- 2021/05/28 00:00 [accepted] PHST- 2021/07/05 10:02 [entrez] PHST- 2021/07/06 06:00 [pubmed] PHST- 2021/07/06 06:01 [medline] PHST- 2021/06/18 00:00 [pmc-release] AID - 10.25259/Cytojournal_39_2020 [pii] AID - 10.25259/Cytojournal_39_2020 [doi] PST - epublish SO - Cytojournal. 2021 Jun 18;18:14. doi: 10.25259/Cytojournal_39_2020. eCollection 2021.