《增殖性疣状白斑:标准化评估和报告的专家共识指南》解读

Interpretation of“Proliferative verrucous leukoplakia:an expert consensus guideline for stadardized assessment and reporting”

增殖性疣状白斑(PVL)是一种特殊的口腔白斑病,具有高复发率和高癌变率的特点。2021年由美国口腔和颌面部病理学学会和北美头颈病理学家协会推出“PVL:标准化评估和报告的专家共识指南”,并将PVL分为四类:①非反应性的波纹状过度正角化或不全角化;②非反应性的大面积过度角化的上皮增生;③鳞状细胞癌或疑为鳞状细胞癌;④不符合上述任何类别。本文对指南中PVL的新分类进行解读,以期为PVL的临床诊治工作提供参考。

Proliferative verrucous leukoplakia(PVL)is a special oral leukoplakia,which has the characteristics of high recurrence and canceration rate.In 2021,the American Society of Oral and Maxillofacial Pathology and the North American Association of head and neck Pathologists published"Proliferative verrucous leukoplakia:an expert consensus guideline for standardized assessment and reporting",and divided PVL into four categories:①Corrugated ortho(para)hyperkeratotic lesion,not reactive;②Bulky hyperkeratotic epithelial proliferation,not reactive;③Squamous cell carcinoma,or suspicious for squamous cell carcinoma;and④Does not fit any above category.This paper intends to interpret the new classifications of PVL in the guidelines in order to provide guidance for clinical diagnosis and treatment.