Imaging Journal of Clinical and Medical Sciences
Squamous Papilloma of the Buccal Mucosa with Oral Submucous Fibrosis
1Assistant Professor, Department of Dentistry, ESIC Medical College and PGIMSR, KK Nagar, Chennai -78, India
2Professor, Department of Dentistry, ESIC Medical College and PGIMSR, KK Nagar, Chennai -78, India
3NFSG (Dental), Department of Dentistry, ESIC Hospital, KK Nagar, Chennai -78, India
4Associate professor, Department of Pathology, ESIC Medical College and PGIMSR, KK Nagar, Chennai -78, India
5Senior Resident, Department of Dentistry, ESIC Medical College and PGIMSR, KK Nagar, Chennai -78, India
6Staff Surgeon, Department of Dentistry, ESIC Hospital, KK Nagar, Chennai -78, India
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Sree Vijayabala G, Mohanavalli S, Gunasekar C, Meenakshisundaram K, Rajesh Kumar U, et al. (2015) Squamous Papilloma of the Buccal Mucosa with Oral Submucous Fibrosis. Imaging J Clin Medical Sci. 2015; 2(1): 6-7. Available from: 10.17352/2455-8702.000018
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© 2015 Sree Vijayabala G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.The squamous papilloma is a common benign oral epithelial neoplasm [1]. Papilloma usually presents as an exophytic, painless papillary mass [2]. Oral Submucous Fibrosis is a premalignant condition [3]. A 45 year old female patient presented with growth in inner side of left cheek region. Patient had history of gutka chewing for past 6 years. On intra oral examination, the growth was pinkish, strawberry like in appearance with a papillary surface in the right buccal mucosa (Figure 1). Generalized blanching of oral mucosa was present (Figure 2). The growth was not tender on palpation and firm in consistency. The growth was pedunculated with no induration or bleeding on palpation. Palpable fibrotic bands were present in the buccal mucosa. The patient was provisionally diagnosed to have papilloma of right buccal mucosa with oral submucous fibrosis. A differential diagnosis of verruca vulgaris, verrucousleukoplakia and condylomaaccuminatum was considered. After investigations, the patient was subjected to excisional biopsy.
Squamous Papilloma of the buccal mucosa with Oral Submucous Fibrosis
The squamous papilloma is a common benign oral epithelial neoplasm [1]. Papilloma usually presents as an exophytic, painless papillary mass [2]. Oral Submucous Fibrosis is a premalignant condition [3]. A 45 year old female patient presented with growth in inner side of left cheek region. Patient had history of gutka chewing for past 6 years. On intra oral examination, the growth was pinkish, strawberry like in appearance with a papillary surface in the right buccal mucosa (Figure 1). Generalized blanching of oral mucosa was present (Figure 2). The growth was not tender on palpation and firm in consistency. The growth was pedunculated with no induration or bleeding on palpation. Palpable fibrotic bands were present in the buccal mucosa. The patient was provisionally diagnosed to have papilloma of right buccal mucosa with oral submucous fibrosis. A differential diagnosis of verruca vulgaris, verrucousleukoplakia and condylomaaccuminatum was considered. After investigations, the patient was subjected to excisional biopsy. Excisional biopsy of the growth revealed papillae lined by hyperplastic stratified squamous epithelium with a fibrovascular core and the diagnosis of squamous papilloma was confirmed histopathologically (Figure 3).
- Naik R, Nithin KP, Mujib BR, Rai KK (2014) An Unusual Presentation of Squamous Papilloma on the Buccal Mucosa. Indian Journal of Multidisciplinary Dentistry 4: 1015-18.
- Neville BW, Damm DD, Allen CM, Bouquot JE (2009) Oral and maxillofacial pathology. 3rd ed. Philadelphia. Elsevier p362-63.
- Auluck A, Rosin MP, Zhag L, Sumanth KN (2008) Oral Submucous Fibrosis, a Clinically Benign but Potentially Malignant Disease: Report of 3 Cases and Review of the Literature. J Can Dent Assoc 74: 735-40.
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