Viability of Whole Tissue Microbiopsy (WTM) for the Study and Management of Oral Leukoplakia


  • Antonio Carrera Torres Clinical Associate in Oral Medicine, Dental School, University of Seville, Spain
  • Ángel Martínez-Sahuquillo Márquez Senior Clinical Lecturer in Oral Medicine, Dental School, University of Seville, Spain
  • Isabel Gallardo Castillo Honorary Lecturer in Oral Medicine, Dental School, University of Seville, Spain
  • María José Cobos Fuentes Honorary Lecturer in Oral Medicine, Dental School, University of Seville, Spain
  • José Ramón Armas Padrón Senior Lecturer in Pathology, Cytology and Normal Histology Department, University of Seville, Spain



Whole Tissue Microbiopsy, leukoplakia, oral biopsy, microbiopsy, potentially malignant disorder.


 Introduction: Leukoplakia is the most frequent potentially malignant disorder. Management and diagnosis requires clinical and histopathogical monitorization. Conventional biopsy generates patient morbidity and is considered a complex procedure for general dentists, which can delay initial diagnosis. To solve these problems, we have proposed a novel procedure denominated Whole Tissue Microbiopsy (WTM). The aim of this study is to evaluate the samples obtained with the WTM procedure and to test their viability; to check if they are applicable in all anatomic locations and compare the results with those obtained with conventional biopsy.

Methods: We studied 41 clinically compatible lesions with oral leukoplakia. A tissue sample was taken using the WTM technique, after which, a conventional biopsy was performed on the same location. Both samples were studied and compared in terms of viability and concordance.

Results: 100% of the samples obtained using the WTM procedure were viable. 95% of the samples were useful to detect dysplasia, and in 85% of cases the basal membrane was retained. Coincidence with conventional biopsy as to detect cancer-dysplasia was 78% and showed a 53.8% sensitivity regarding the detection of dysplasia-Cancer.

Discussion and Conclusion: The samples obtained by the WTM are viable for study. Conservation of all epithelial layers in the sample and the basement membrane in particular is not influenced by the anatomical area or by the clinical appearance of the lesion. The results that did not coincide with the conventional biopsy were due to the difference in size and not the quality of it.


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How to Cite

Antonio Carrera Torres, Ángel Martínez-Sahuquillo Márquez, Isabel Gallardo Castillo, María José Cobos Fuentes, & José Ramón Armas Padrón. (2016). Viability of Whole Tissue Microbiopsy (WTM) for the Study and Management of Oral Leukoplakia. Journal of Analytical Oncology, 5(4),  132–138.