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An Official Publication of the Indian Association of Oral and Maxillofacial Pathologists


 
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Year : 2021  |  Volume : 25  |  Issue : 3  |  Page : 509-510
 

Universal pro forma for the oral potentially malignant disorders: Need of the hour


Department of Oral Pathology and Microbiology, Nair Hospital Dental College, Mumbai, Maharashtra, India

Date of Submission28-Jul-2021
Date of Acceptance30-Nov-2021
Date of Web Publication11-Jan-2022

Correspondence Address:
Rajiv S Desai
Department of Oral Pathology and Microbiology, Nair Hospital Dental College, Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jomfp.jomfp_257_21

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How to cite this article:
Desai RS. Universal pro forma for the oral potentially malignant disorders: Need of the hour. J Oral Maxillofac Pathol 2021;25:509-10

How to cite this URL:
Desai RS. Universal pro forma for the oral potentially malignant disorders: Need of the hour. J Oral Maxillofac Pathol [serial online] 2021 [cited 2022 Sep 26];25:509-10. Available from: https://www.jomfp.in/text.asp?2021/25/3/509/335519






In medical practice, pro forma provides the clinician with a single-source reference document for assessing their patients. It also allows for improved communication between and within dental and medical specialties for clinical as well as research purposes in their routine practice.

Structured pro formas are available for reporting various malignancies such as carcinoma of the oral cavity and tumors of the esophagus and gastroesophageal junction by the American Joint Committee on Cancer.[1] However, pro forma is not presently available for oral potentially malignant disorders (OPMDs).

OPMDs include diverse group of lesions and conditions that affect the oral mucosa with an increased risk of malignancy.[2] The lack of uniformity in the description of various OPMDs is found to be a major obstacle in pooling and comparing the results of OPMDs. We assume that most of our colleagues worldwide are also probably facing similar problems for treating OPMDs. Because the current levels of scientific support for OPMDs diagnostic procedures are low as well as highly variable, the demand for a standardized pro forma for OPMDs is the need of the hour. It would be ideal for experts and researchers in the field of OPMDs to take active interest and provide the evidence which is also needed to refine and improve the documentation of OPMDs for the benefit of researchers, clinicians, and patients. Moreover, universal standardized pro forma for OPMDs will try to fill in the gaps between clinicians and pathologists among various studies allowing a more thorough comparison of their findings.

The diagnostic criteria should be received from the best available knowledge. Validated criteria should be used if available and if absent, criteria should be formulated by the specialists from the working group on OPMDs and supplemented with the comment that data-driven criteria are so far lacking, and there is thus a need for focused research. Given that universally accepted OPMDs, pro forma is not yet developed, and it is expected that there are instances in which criteria are not perfectly defined and nomenclature will be less than ideal, which will be a significant limitation; however, the beginning should be made in this direction. It is expected that refinements are made with each version of the blueprint. Therefore, we need to use it, test it, and discuss it in academic (dental schools and postgraduate programs) as well as clinical settings. Problems need to be identified and suggestions developed through researches. The creation of standardized approach for the treatment of OPMDs could be possible after validation of such universally accepted pro forma developed by researchers and experts in the field of OPMDs.

I hope my views will generate healthy discussion among readers to come out with useful suggestions.



 
   References Top

1.
Ridge JA, Lydiatt WM, Patel SG. Head and neck. In: Amin MB, Edge SB, Greene FL., editors. AJCC Cancer Staging Manual. 8th ed. Chicago, IL: Springer; 2017. p. 79-94.  Back to cited text no. 1
    
2.
Warnakulasuriya S. Oral potentially malignant disorders: A comprehensive review on clinical aspects and management. Oral Oncol 2020;102:104550.  Back to cited text no. 2
    




 

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