Document Detail


Clinical and histopathological features of the oral mucosa in allogeneic haematopoietic stem cell transplantation patients.
MedLine Citation:
PMID:  18199988     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Chronic graft-versus-host disease (cGVHD) is a common but serious complication of allogeneic haematopoietic stem cell transplantation (HSCT). Oral involvement of cGVHD occurs in 80 to 100% of patients suffering from cGVHD and may be the early manifestation of this complication. AIM: To study whether the histological changes of oral cGVHD are detectable in apparently normal oral mucosa of HSCT patients without clinical manifestations of the disease. PATIENTS AND METHODS: This study enrolled 13 adult patients who underwent allogeneic HSCT for haematological malignancies. The presence of lichenoid, atrophic or erythematous changes of the oral mucosa detected on oral examination approximately 100 days after the HSCT was regarded as positive for cGVHD. An incisional biopsy of the oral mucosa was taken from patients with and without oral cGVHD and the specimens were examined by a pathologist who was unaware of the clinical state of the sampled mucosa. RESULTS: Biopsies were taken from four patients with clinical manifestations of oral cGVHD and from nine patients with apparently normal oral mucosa. Histological cGVHD changes were detected in each of the four patients (100%) with clinical manifestations of oral cGVHD and in six of the nine patients (66.6%) with apparently healthy mucosa. DISCUSSION: Although the histological changes in the oral mucosa without corresponding clinical alterations that were detected in this study are insufficient for a definite diagnosis of oral cGVHD, it appears important to investigate the amount of histological change in predicting clinical onset. A longer follow-up period in patients showing histological changes with no clinical manifestations may elucidate whether these changes are predictive of clinically evident lesions in the mouth or other sites.
Authors:
F Demarosi; G Lodi; A Carrassi; L Moneghini; B Sarina; A Sardella
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Experimental oncology     Volume:  29     ISSN:  1812-9269     ISO Abbreviation:  Exp. Oncol.     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2008-01-17     Completed Date:  2008-04-08     Revised Date:  2010-01-15    
Medline Journal Info:
Nlm Unique ID:  101230541     Medline TA:  Exp Oncol     Country:  Ukraine    
Other Details:
Languages:  eng     Pagination:  304-8     Citation Subset:  IM    
Affiliation:
Unit of Oral Pathology and Medicine, School of Dentistry, University of Milan, Via Beldiletto 1, 20142 Milan, Italy. federica.demarosi@unimi.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Graft vs Host Disease / complications*,  pathology*
Hematologic Neoplasms / therapy
Hematopoietic Stem Cell Transplantation / adverse effects*
Humans
Male
Middle Aged
Mouth Diseases / etiology*,  pathology*
Mouth Mucosa / pathology*
Transplantation, Homologous

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