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Hi guysDoes anyone know( or source of reading )about moderate dysplasia?how do we manage that?In mild we will closely monitor.What abt moderate?Remove?More investigations?Thank you in advance SincerelyLyudmyla

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Hi Lyudmyla,

I tried to search for guidelines on management of moderate dysplasia, but

unfortunately there are none available. The only concrete statement that I ve

been able to find is " Lesions with moderate or severe dysplasia may be excised,

ablated by laser or treated with topical chemotherapeutic agents such as

bleomycin. Occasionally patches are too large to treat in these ways and the

only option is to monitor to detect malignant transformation as early as

possible. " (source-odell 3rd ed case 45- white patch on tongue)

I believe the actual management varies from case to case, after taking into

consideration the risk factors that may be involved.

Hope this helps..

Do let me know if you find anything else.

Regards,

Smriti

>

> Hi guys

> Does anyone know( or source of reading )about moderate dysplasia?how do we

manage that?

> In mild we will closely monitor.What abt moderate?Remove?More investigations?

> Thank you in advance

>

>  

> Sincerely

> Lyudmyla

>

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smriti <doc_smriti@...> wrote:

>Hi Lyudmyla,

>I tried to search for guidelines on management of moderate dysplasia, but

unfortunately there are none available. The only concrete statement that I ve

been able to find is " Lesions with moderate or severe dysplasia may be excised,

ablated by laser or treated with topical chemotherapeutic agents such as

bleomycin. Occasionally patches are too large to treat in these ways and the

only option is to monitor to detect malignant transformation as early as

possible. " (source-odell 3rd ed case 45- white patch on tongue)

>I believe the actual management varies from case to case, after taking into

consideration the risk factors that may be involved.

>Hope this helps..

>Do let me know if you find anything else.

>Regards,

>Smriti

>

>

>>

>> Hi guys

>> Does anyone know( or source of reading )about moderate dysplasia?how do we

manage that?

>> In mild we will closely monitor.What abt moderate?Remove?More investigations?

>> Thank you in advance

>>

>>  

>> Sincerely

>> Lyudmyla

>>

>

>

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Thank you very much Smriti,really appreciate your time.Basically,I found the same,but about treatment with bleomycin-is a good point-I did not know about it.Thank you SincerelyLyudmyla From: smriti <doc_smriti@...> Sent: Sunday, 15 January 2012, 6:32 Subject: Re: Moderate

dysplasia

Hi Lyudmyla,

I tried to search for guidelines on management of moderate dysplasia, but unfortunately there are none available. The only concrete statement that I ve been able to find is "Lesions with moderate or severe dysplasia may be excised, ablated by laser or treated with topical chemotherapeutic agents such as bleomycin. Occasionally patches are too large to treat in these ways and the only option is to monitor to detect malignant transformation as early as possible." (source-odell 3rd ed case 45- white patch on tongue)

I believe the actual management varies from case to case, after taking into consideration the risk factors that may be involved.

Hope this helps..

Do let me know if you find anything else.

Regards,

Smriti

>

> Hi guys

> Does anyone know( or source of reading )about moderate dysplasia?how do we manage that?

> In mild we will closely monitor.What abt moderate?Remove?More investigations?

> Thank you in advance

>

>

> Sincerely

> Lyudmyla

>

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