Evaluation of crystallization patterns in oral potentially malignant disorders and oral malignancies: A prospective study

J Cancer Res Ther. 2023 Jul-Sep;19(5):1170-1175. doi: 10.4103/jcrt.JCRT_545_21.

Abstract

Background: Oral cancers are often detected at late stages, and patients usually had a 50% chance of a 5-year survival rate. Oral cancer usually has an early precancerous stage before its actual malignant transformation. Although there are various approaches to diagnose the early stages of cancer, there is one less explored, cost-effective, and simple technique known as the crystallization test. The aim of the study was to evaluate the crystallization patterns in tobacco users, oral potentially malignant disorders (OPMDs), and oral malignancies.

Materials and methods: Fifteen patients with oral malignancies, 15 patients with oral potentially malignant disorders, 15 tobacco users, and 15 healthy individuals participated in the crystallization test. Single blood drop was used to perform this test and the obtained crystal patterns were analyzed.

Results: This test had a sensitivity of 93.3%, 80.0%, and 20.0% for oral malignancies, oral Potentially Malignant Disorders (PMDs), and tobacco users, respectively. Chi-square analysis revealed a highly significant transverse form between OPMDs and oral malignancies (P < 0.05).

Conclusion: Crystallization test was found to be a sensitive, reliable, economical, and less invasive procedure for screening of oral PMDs and oral malignancies under strictly maintained physical conditions.

Keywords: Crystal patterns; crystallization test; cupric chloride; oral malignancy; oral potentially malignant disorder.

MeSH terms

  • Crystallization
  • Humans
  • Mouth Diseases*
  • Mouth Neoplasms* / diagnosis
  • Mouth Neoplasms* / pathology
  • Precancerous Conditions* / diagnosis
  • Prospective Studies