Oral Candidal leukoplakia treated with CO2 laser

Reenesh Mechery, P. Arora, N. Dinakar
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Abstract

Oral leukoplakia (OL) is one of the most common physiologic as well as pathologic white lesions in oral cavity. Of the many variants of OL, chronic hyperplastic candidosis, also called candidal leukoplakia (CL), is associated with Candida yeast species, which generally is an opportunistic microbe of normal oral microbiota. Many published cases and researches suggest a positive role of Candida albicans as potential culprit in malignant transformation of leukoplakia to squamous cell carcinomas at molecular level as trigger at cell signaling pathway. This article describes a case report of CL in the light of current information with clinical and histological aspect in a young patient, which was successfully treated with CO2 laser. This article also makes an attempt to provide and update the knowledge about potential malignant disorders such as leukoplakia and cofactors such as candidiasis superimposed to leukoplakia to health-care providers in order to help in early detection and treatment, thus decreasing mortality.
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CO2激光治疗口腔念珠菌性白斑
口腔白斑是口腔内最常见的生理性和病理性白色病变之一。在OL的许多变体中,慢性增生性念珠菌病,也称为念珠菌白斑(CL),与念珠菌有关,念珠菌通常是正常口腔微生物群中的机会性微生物。许多已发表的病例和研究表明,白色念珠菌作为白斑向鳞状细胞癌恶性转化的潜在元凶,在分子水平上作为细胞信号通路的触发因子发挥积极作用。本文根据临床和组织学方面的最新资料,报告了一例年轻患者用CO2激光成功治疗CL的病例。本文还试图向卫生保健提供者提供和更新有关潜在恶性疾病的知识,如白斑和辅助因素,如白斑叠加的念珠菌病,以帮助早期发现和治疗,从而降低死亡率。
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