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This analysis, or histopathology, can identify several changes in the tissue, which may indicate leukoplakia: * Formation of hard and thick layers on the skin on the inside of your mouth * Increase in the thickness of the inner skin layer * Abnormal thickening of the skin * The base layer of your skin becoming thinner * Inflammation in the connective tissues * Changes in the cell layers * Changes in the ratio of the nucleus to the cytoplasm in cells * Incidences of more pigmented and enlarged nuclei * Unusually high cell proliferation * Abnormal cell divisions * Increased cell divisions * Changes in the shape and size of nuclei * Excessive growth at the base layer of cells * Cells shaped like a drop infiltrating deeper layers of the skin * Loss of normal cellular arrangement Apart from biopsies and histopathology, other diagnostic tools used for the early detection of leukoplakia include the use of a blue dye called toluidine, brush biopsy kits for oral applications, saliva testing, and optical imaging systems