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PERIO - Periodontal Practice Today
PERIO - Periodontal Practice Today 2 (2005), No. 3     19. Sep. 2005
PERIO - Periodontal Practice Today 2 (2005), No. 3  (19.09.2005)

Page 213-218

Squamous Cell Carcinoma Arising Within Gingival Lichen Planus
Roberts, Anthony / Milward, Mike / Parmar, Satyesh / Jephcott, Anna / Chapple, Iain L. C.
This report describes the appearance and management of an oral squamous cell carcinoma (SCC), which arose within an area of gingival lichen planus in an 80-year old female patient. The patient was under regular recall to monitor an area of desquamative gingivitis, the underlying cause for which was gingival lichen planus. In this paper we describe the rapid appearance of a superficial spreading invasive SCC, the investigations performed and the clinical course and management of the tumour. This paper also discusses the possibility that utilisation of topical oral steroids in the symptomatic management of erosive or atrophic oral lesions, may play a role in the initiation or progression of the malignancy.

Keywords: gingival lichen planus, gingival squamous cell carcinoma, topical steroid therapy