Usage of Toluidine Blue in Early Detection of Malignant and Premalignant Lesions

Abstract

Objective: To Test the utility of toluidine blue staining in the early diagnosis of malignant and premalignant lesions. Materials and Methods: This was a Randomized control clinical trial, carried out at Oral and Maxillofacial Department Gajju Khan Medical College, Bacha Khan Medical Complex, Swabi from 15th April 2019 to 15th April 2020. Twenty two patients with the clinical suspicious lesions were selected. Oral rise was done with 1% acetic acid and later Toluidine blue (1%W/W) was applied with sterile swab stick. Again oral rise was done with normal saline. Colour of the lesion was noted. Later incisional biopsy was taken as gold standard. Results: Total of 22 cases the males were 14(63.6%) and females were 8(36.4%). The sensitivity and specificity of toluidine blue against gold standard of histopathology were 88.89% and 61.54% % respectively. The diagnostic accuracy of toluidine blue was 72.73%. Conclusion: Toluidine blue is very good, effective and simple staining procedure. The staining method is more tolerable by the patient. It may help not only in detecting early dysplastic and malignant lesions but will also help in determining the site of biopsy to be taken.