4.6 Review

Oral potentially malignant disorders: A scoping review of prognostic biomarkers

Journal

CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY
Volume 153, Issue -, Pages -

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.critrevonc.2020.102986

Keywords

oral potentially malignant disorders; biomarkers; disease progression; leukoplakia; erythroplakia; prognosis; review

Funding

  1. Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq) [406744/2016-5]
  2. Fundacao de Amparo a Pesquisa e Invovacao do Estado de Santa Catarina (FAPESC) [88887.200724/2018-00, 88887.200723/2018-00]
  3. Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior - Brasil (CAPES) [001]

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This scoping review aimed to map evidence regarding biomarkers for malignant transformation of oral potentially malignant disorders (OPMD). Seventy-three longitudinal studies investigating prognostic biomarkers for OPMD malignant transformation were included, encompassing 5612 disorders and 108 biomarkers, of which 72 were investigated by immunohistochemistry. Most biomarkers were assessed in one or two studies, while five (p53, Ki-67, podoplanin, p16, and DNA ploidy) were analyzed in five or more studies. All studies investigating podoplanin (n = 8) reported a significant association between positive/high immunoexpression and malignant transformation. Similarly, all studies assessing DNA ploidy (n = 5) found that aneuploidy or gross genomic aberrations were significantly associated with malignant transformation. Included studies often presented mixed data from different OPMD subtypes, inadequate description of population characteristics, and lack of adjusted analysis for confounding factors. One hundred and eight biomarkers were identified and, from these, podoplanin immunoexpression and DNA ploidy were considered promising candidates for future long-term clinical research.

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