Unusual presentation of primary mandibular gingival squamous cell carcinoma in young male: A case report

Sultan, Nishat and Rao, Jyoti R. (2015) Unusual presentation of primary mandibular gingival squamous cell carcinoma in young male: A case report. Journal of Oral Health & Oral Epidemiology.

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Abstract

BACKGROUND AND AIM: Squamous cell carcinoma (SCC) is usually considered a disease of older people. Recently, there is a change in the occurrence of such lesions in young patients and lacking the established risk factors. CASE REPORT: A 21-year-old male reported with an innocuous gingival growth over lower incisors since a month. Within 15 days he noticed another gingival growth in same region lingually. The growths were mildly tender with no suppuration. The associated teeth were non-mobile and vital. The radiographic findings were insignificant. An excisional biopsy was performed under local anesthesia. The stained H and E section showed a hyper-parakeratinized stratified squamous surface epithelium with underlying connective tissue with collagen fibers, fibroblasts, blood vessels and areas of dense chronic inflammatory cell infiltrate. Epithelium exhibited features of dysplasia. There was a breach in the continuity of the basement membrane and the malignant epithelial cells were seen invading the connective tissue in form of thin cord. CONCLUSION: The histopathological study confirmed the diagnosis of well differentiated SCC. Oral SCC is not a disease of the elderly anymore. We also reviewed the literature of SCC in young patients. Thus biopsy is mandatory for any non-resolving gingival growth. KEYWORDS: Gingival Overgrowth, Interdental Papilla, Squamous Cell Carcinoma, Gingival Neoplasm, Mandible

Item Type: Article
Subjects: R Medicine > RK Dentistry
Depositing User: shiva pooradeli pooradeli
Date Deposited: 08 Dec 2015 04:56
Last Modified: 08 Dec 2015 04:56
URI: http://eprints.kmu.ac.ir/id/eprint/21701

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