Actinic cheilitis: clinicopathologic profile and association with degree of dysplasia

Background Actinic cheilitis (AC) is a potentially malignant disorder of the lip caused by exposure to solar radiation. Objectives This study was conducted to evaluate the clinicopathologic profile of cases of AC and to verify associations with the degree of dysplasia. Methods This retrospective stu...

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Veröffentlicht in:International journal of dermatology 2014-04, Vol.53 (4), p.466-472
Hauptverfasser: de Santana Sarmento, Dmitry José, da Costa Miguel, Márcia Cristina, Queiroz, Lélia Maria Guedes, Godoy, Gustavo Pina, da Silveira, Éricka Janine Dantas
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container_end_page 472
container_issue 4
container_start_page 466
container_title International journal of dermatology
container_volume 53
creator de Santana Sarmento, Dmitry José
da Costa Miguel, Márcia Cristina
Queiroz, Lélia Maria Guedes
Godoy, Gustavo Pina
da Silveira, Éricka Janine Dantas
description Background Actinic cheilitis (AC) is a potentially malignant disorder of the lip caused by exposure to solar radiation. Objectives This study was conducted to evaluate the clinicopathologic profile of cases of AC and to verify associations with the degree of dysplasia. Methods This retrospective study analyzed data for 40 patients with AC. Demographic, clinical, and histopathologic data were evaluated. Sections measuring 5 μm in thickness were cut, deparaffinized, and stained with hematoxylin and eosin for histologic examination. The degree of epithelial dysplasia was graded using the criteria defined by the World Health Organization. Two calibrated oral pathologists analyzed the slides. Results Analysis of the AC patients sampled showed that 75.0% were male (P = 0.002), 80.0% were aged ≥40 years (P 
doi_str_mv 10.1111/ijd.12332
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Objectives This study was conducted to evaluate the clinicopathologic profile of cases of AC and to verify associations with the degree of dysplasia. Methods This retrospective study analyzed data for 40 patients with AC. Demographic, clinical, and histopathologic data were evaluated. Sections measuring 5 μm in thickness were cut, deparaffinized, and stained with hematoxylin and eosin for histologic examination. The degree of epithelial dysplasia was graded using the criteria defined by the World Health Organization. Two calibrated oral pathologists analyzed the slides. Results Analysis of the AC patients sampled showed that 75.0% were male (P = 0.002), 80.0% were aged ≥40 years (P &lt; 0.001), 74.3% were Caucasian (P = 0.004), and 68.6% had occupational exposure to sunlight (P = 0.028). The most common clinical manifestation was white lesions (55.0%), and 40.0% of patients had no dysplasia. No significant associations emerged between the histologic grading of AC and gender (P = 1.000), age (P = 1.000), ethnicity (P = 0.416), occupational exposure to sunlight (P = 1.000), and clinical presentation (P = 0.467). Conclusions The degree of dysplasia in AC was not statistically associated with gender, age, ethnicity, occupational exposure to sunlight, or clinical appearance. This study provides some support for the hypothesis that clinicopathologic features are not related to the degree of dysplasia in AC.</description><identifier>ISSN: 0011-9059</identifier><identifier>EISSN: 1365-4632</identifier><identifier>DOI: 10.1111/ijd.12332</identifier><identifier>PMID: 24320079</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; African Continental Ancestry Group ; Age Factors ; Brazil ; Cheilitis - ethnology ; Cheilitis - etiology ; Cheilitis - pathology ; Epithelium - pathology ; European Continental Ancestry Group ; Female ; Humans ; Male ; Occupational Exposure ; Retrospective Studies ; Sex Factors ; Sunlight - adverse effects</subject><ispartof>International journal of dermatology, 2014-04, Vol.53 (4), p.466-472</ispartof><rights>2013 The International Society of Dermatology</rights><rights>2013 The International Society of Dermatology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3962-3d4e32b170e13395b43afa32d8f258d29334dfdd494c9f6303bc0eeebe3b009f3</citedby><cites>FETCH-LOGICAL-c3962-3d4e32b170e13395b43afa32d8f258d29334dfdd494c9f6303bc0eeebe3b009f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijd.12332$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijd.12332$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24320079$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Santana Sarmento, Dmitry José</creatorcontrib><creatorcontrib>da Costa Miguel, Márcia Cristina</creatorcontrib><creatorcontrib>Queiroz, Lélia Maria Guedes</creatorcontrib><creatorcontrib>Godoy, Gustavo Pina</creatorcontrib><creatorcontrib>da Silveira, Éricka Janine Dantas</creatorcontrib><title>Actinic cheilitis: clinicopathologic profile and association with degree of dysplasia</title><title>International journal of dermatology</title><addtitle>Int J Dermatol</addtitle><description>Background Actinic cheilitis (AC) is a potentially malignant disorder of the lip caused by exposure to solar radiation. Objectives This study was conducted to evaluate the clinicopathologic profile of cases of AC and to verify associations with the degree of dysplasia. Methods This retrospective study analyzed data for 40 patients with AC. Demographic, clinical, and histopathologic data were evaluated. Sections measuring 5 μm in thickness were cut, deparaffinized, and stained with hematoxylin and eosin for histologic examination. The degree of epithelial dysplasia was graded using the criteria defined by the World Health Organization. Two calibrated oral pathologists analyzed the slides. Results Analysis of the AC patients sampled showed that 75.0% were male (P = 0.002), 80.0% were aged ≥40 years (P &lt; 0.001), 74.3% were Caucasian (P = 0.004), and 68.6% had occupational exposure to sunlight (P = 0.028). The most common clinical manifestation was white lesions (55.0%), and 40.0% of patients had no dysplasia. No significant associations emerged between the histologic grading of AC and gender (P = 1.000), age (P = 1.000), ethnicity (P = 0.416), occupational exposure to sunlight (P = 1.000), and clinical presentation (P = 0.467). Conclusions The degree of dysplasia in AC was not statistically associated with gender, age, ethnicity, occupational exposure to sunlight, or clinical appearance. This study provides some support for the hypothesis that clinicopathologic features are not related to the degree of dysplasia in AC.</description><subject>Adult</subject><subject>African Continental Ancestry Group</subject><subject>Age Factors</subject><subject>Brazil</subject><subject>Cheilitis - ethnology</subject><subject>Cheilitis - etiology</subject><subject>Cheilitis - pathology</subject><subject>Epithelium - pathology</subject><subject>European Continental Ancestry Group</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Occupational Exposure</subject><subject>Retrospective Studies</subject><subject>Sex Factors</subject><subject>Sunlight - adverse effects</subject><issn>0011-9059</issn><issn>1365-4632</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1PGzEQhi1UBCFw4A9Ue2wPC7bHuxv3hiif5eOSEImL5bXHxHQTh_VGkH-PISG3SvVlZM8z71gPIYeMHrF0jv2zPWIcgG-RHoOyyEUJ_BvpUcpYLmkhd8lejM_pCpyJHbLLBXBKK9kjoxPT-Zk3mZmgb3zn46_MNB8vYa67SWjCU2rO2-B8g5me2UzHGIzXnQ-z7NV3k8ziU4uYBZfZZZw3Onq9T7adbiIerGufjM7PhqeX-c39xdXpyU1uQJY8BysQeM0qigxAFrUA7TRwO3C8GFguAYR11gopjHQlUKgNRcQaoaZUOuiTH6vc9MGXBcZOTX002DR6hmERFStYWYkC6OA_UCoFE0Va2ic_V6hpQ4wtOjVv_VS3S8Wo-hCuknD1KTyx39exi3qKdkN-GU7A8Qp4TQKX_05SV9e_vyLz1YSPHb5tJnT7V5UVVIUa312o4W05_PNwOVaP8A60Bplp</recordid><startdate>201404</startdate><enddate>201404</enddate><creator>de Santana Sarmento, Dmitry José</creator><creator>da Costa Miguel, Márcia Cristina</creator><creator>Queiroz, Lélia Maria Guedes</creator><creator>Godoy, Gustavo Pina</creator><creator>da Silveira, Éricka Janine Dantas</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>201404</creationdate><title>Actinic cheilitis: clinicopathologic profile and association with degree of dysplasia</title><author>de Santana Sarmento, Dmitry José ; da Costa Miguel, Márcia Cristina ; Queiroz, Lélia Maria Guedes ; Godoy, Gustavo Pina ; da Silveira, Éricka Janine Dantas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3962-3d4e32b170e13395b43afa32d8f258d29334dfdd494c9f6303bc0eeebe3b009f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>African Continental Ancestry Group</topic><topic>Age Factors</topic><topic>Brazil</topic><topic>Cheilitis - ethnology</topic><topic>Cheilitis - etiology</topic><topic>Cheilitis - pathology</topic><topic>Epithelium - pathology</topic><topic>European Continental Ancestry Group</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Occupational Exposure</topic><topic>Retrospective Studies</topic><topic>Sex Factors</topic><topic>Sunlight - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Santana Sarmento, Dmitry José</creatorcontrib><creatorcontrib>da Costa Miguel, Márcia Cristina</creatorcontrib><creatorcontrib>Queiroz, Lélia Maria Guedes</creatorcontrib><creatorcontrib>Godoy, Gustavo Pina</creatorcontrib><creatorcontrib>da Silveira, Éricka Janine Dantas</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>International journal of dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Santana Sarmento, Dmitry José</au><au>da Costa Miguel, Márcia Cristina</au><au>Queiroz, Lélia Maria Guedes</au><au>Godoy, Gustavo Pina</au><au>da Silveira, Éricka Janine Dantas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Actinic cheilitis: clinicopathologic profile and association with degree of dysplasia</atitle><jtitle>International journal of dermatology</jtitle><addtitle>Int J Dermatol</addtitle><date>2014-04</date><risdate>2014</risdate><volume>53</volume><issue>4</issue><spage>466</spage><epage>472</epage><pages>466-472</pages><issn>0011-9059</issn><eissn>1365-4632</eissn><abstract>Background Actinic cheilitis (AC) is a potentially malignant disorder of the lip caused by exposure to solar radiation. Objectives This study was conducted to evaluate the clinicopathologic profile of cases of AC and to verify associations with the degree of dysplasia. Methods This retrospective study analyzed data for 40 patients with AC. Demographic, clinical, and histopathologic data were evaluated. Sections measuring 5 μm in thickness were cut, deparaffinized, and stained with hematoxylin and eosin for histologic examination. The degree of epithelial dysplasia was graded using the criteria defined by the World Health Organization. Two calibrated oral pathologists analyzed the slides. Results Analysis of the AC patients sampled showed that 75.0% were male (P = 0.002), 80.0% were aged ≥40 years (P &lt; 0.001), 74.3% were Caucasian (P = 0.004), and 68.6% had occupational exposure to sunlight (P = 0.028). The most common clinical manifestation was white lesions (55.0%), and 40.0% of patients had no dysplasia. No significant associations emerged between the histologic grading of AC and gender (P = 1.000), age (P = 1.000), ethnicity (P = 0.416), occupational exposure to sunlight (P = 1.000), and clinical presentation (P = 0.467). Conclusions The degree of dysplasia in AC was not statistically associated with gender, age, ethnicity, occupational exposure to sunlight, or clinical appearance. This study provides some support for the hypothesis that clinicopathologic features are not related to the degree of dysplasia in AC.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24320079</pmid><doi>10.1111/ijd.12332</doi><tpages>7</tpages></addata></record>
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subjects Adult
African Continental Ancestry Group
Age Factors
Brazil
Cheilitis - ethnology
Cheilitis - etiology
Cheilitis - pathology
Epithelium - pathology
European Continental Ancestry Group
Female
Humans
Male
Occupational Exposure
Retrospective Studies
Sex Factors
Sunlight - adverse effects
title Actinic cheilitis: clinicopathologic profile and association with degree of dysplasia
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