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Abstrak :
Oral lichen planus (OLP) is a chronic inflammatory condition that effects oral mucous membranes with a variety of clinical presentations including reticular, atrophic, plaque and ulcerative lesions. Corticosteroid is one of the effective therapy for OLP in reducing the sign and symptoms of this disease, but this therapy have a serious side effect, therefore to administering one must consider the patient?s systemic condition. We reported a case of OLP in 52 years old female patient who has no history of diabetes mellitus and unknown glucose level. Management of this patient included application of corticosteroid swish, topical 0.05% clobetasol propionate and 0,1% triamcinolone acetonide, antimycotics, improvement the oral hygiene status and referral to internal medicine specialist. The next treatments plan challenging because unstable blood glucose level which in turn effects the drug choice and teeth extraction plan. We concluded that the treatment of OLP requires a complete assessment of medical status and lab studies specially on the first visit so the drug selection with corticosteroid therapy and the treatment planning of predisposing factor are effective in reducing the sign and symptoms of OLP with minimum systemic side effect.

Abstrak :
Background: In many developing countries, like Indonesia, most patients with oral mass lesion, i.e. infection, inflammation, even cancer came to the hospital at late stage of the diseases. Some of them afraid of endure suffering a killer disease, either after a biopsy or even should undergo an operation. Fine needle aspiration (FNA) biopsy is a technique rarely used to diagnose oral and oropharyngeal lesion. This technique seems promise a convenience, painless, accurate, safe, and easy to use to help patients and surgeons, and have been demonstrated repeatedly. Objectives: This case report emphasized many advantages of FNA biopsy to examine oral mass lesions and its metastasis to lymph node. Materials and methods: Under a local anesthesia, incisional biopsy and FNA biopsy were done on four cases of oral mass lesions. All samples were prepared for microscopic examination with Hematoxylin-Eosin (HE) staning and with Diff-Quick or Papaniculaou staining. Results: Incisional biopsy showed features of malignancy asthe same as FNA biopsy. There were bigger cells with high ratio between cells and nucleus, hyperchromatic nucleoli, and mitotic cells that refers to Squamous cell carcinoma. FNA biopsy from the nearest lymph node showed clumps atypia cells, prominent nucleoli, nuclear hyperchromatic and pleomorphism. Conclusion: FNA biopsy could well diagnose on oral mass lesions and the adjacent lymph node. FNA biopsy has many advantages particularly its convenience, painless, ease to use, cost effectiveness, and accuracy.