PMID- 34349437 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220425 IS - 0973-029X (Print) IS - 1998-393X (Electronic) IS - 0973-029X (Linking) VI - 25 IP - 1 DP - 2021 Jan-Apr TI - Comparative cytopathologic evaluation using acridine orange with Papanicolaou stain in psychoactive substances abusers with potentially malignant and malignant disorders. PG - 198 LID - 10.4103/jomfp.JOMFP_275_20 [doi] AB - INTRODUCTION: Oral cancer is a major health problem and its early detection is advantageous for therapeutic purposes. According to available evidence, the risks of oral malignancies increase with the usage of tobacco and other psychoactive substances (PSs). The present study showed expression pattern of nuclear and cytoplasmic changes from normal individuals without habit to oral potentially malignant disorders (OPMD) and oral squamous cell carcinoma (OSCC) in PS abusers with the help of fluorescence acridine orange (AO) stain and Papanicolaou (PAP) stain. AIM AND OBJECTIVES: This study aimed to investigate and compare diagnostic efficacy of fluorescence microscopic evaluation of AO stain in cytological smears with PAP staining under light microscopy in PS abusers having oral potentially malignant and malignant lesions. MATERIALS AND METHODS: Oral smears from 120 individuals among which 40 from potentially malignant disorders, 40 from oral malignancy and 40 normal buccal mucosa smears were prepared. One set of smears was stained by AO staining and the other by PAP staining and examined under fluorescence and light microscope, respectively. The results of both the stainings were evaluated by grading cytology smears in class-I to class-V cytology. RESULTS: The AO fluorescence stain reliably demonstrated malignant cells based on the differential fluorescence. The efficacy of AO fluorescence stain was higher than PAP stain in screening of oral lesions suspicious of malignancy. The sensitivity of PAP staining and AO staining is 57.50% and 61.25%, respectively. CONCLUSION: As compared to PAP staining method, fluorescent AO method is more effective in screening of OPMD and OSCC in PS abusers. CI - Copyright: (c) 2021 Journal of Oral and Maxillofacial Pathology. FAU - Patel, Falguni H AU - Patel FH AD - Department of Oral Pathology, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth University, Vadodara, Gujarat, India. FAU - Bhavasar, Rashmi AU - Bhavasar R AD - Department of Oral Pathology, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth University, Vadodara, Gujarat, India. FAU - Shah, Shreyas AU - Shah S AD - Department of Oral Pathology, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth University, Vadodara, Gujarat, India. FAU - Shah, Vandana AU - Shah V AD - Department of Oral Pathology, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth University, Vadodara, Gujarat, India. FAU - Patel, Pratik D AU - Patel PD AD - Department of Factory Medical, Medical Officer, Alembic Pharma, Vadodara, Gujarat, India. LA - eng PT - Journal Article DEP - 20210514 PL - India TA - J Oral Maxillofac Pathol JT - Journal of oral and maxillofacial pathology : JOMFP JID - 101227995 PMC - PMC8272495 OTO - NOTNLM OT - Acridine orange stain OT - Papanicolaou stain OT - oral potentially malignant disorders OT - oral squamous cell carcinoma COIS- There are no conflicts of interest. EDAT- 2021/08/06 06:00 MHDA- 2021/08/06 06:01 PMCR- 2021/01/01 CRDT- 2021/08/05 06:21 PHST- 2020/07/07 00:00 [received] PHST- 2021/01/10 00:00 [revised] PHST- 2021/01/15 00:00 [accepted] PHST- 2021/08/05 06:21 [entrez] PHST- 2021/08/06 06:00 [pubmed] PHST- 2021/08/06 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - JOMFP-25-198a [pii] AID - 10.4103/jomfp.JOMFP_275_20 [doi] PST - ppublish SO - J Oral Maxillofac Pathol. 2021 Jan-Apr;25(1):198. doi: 10.4103/jomfp.JOMFP_275_20. Epub 2021 May 14.