Gingival Squamous Cell Carcinoma: A Case Report

Abstract

Squamous cell carcinoma (SCC) is the most frequent malignant neoplasm affecti ng structures of the oral mucosa, which accounts for more than 90% of all malignant lesions in the mouth. The aim of this study was to report a case of well differentiated squamous cell carcinoma of gingiva. A 50 year old female seen with 3 weeks history of a painless mass over the lower left posterior buccal gingival area. Clinical examination revealed, a reddish white, ulcerative spongy asymptomatic lesion around the buccal area of teeth 33 to 37 and a leukoplakic lesion over the left border of the tongue & whole of poste rior left buccal mucosa. Thus, in view of the clinical symptoms and differential diagnosis of a malignant neoplasm, an incisional biopsy was obtained from the lesion. The diagnosis of well differentiated squamous cell carcinoma was made and fourteen days after incisional biopsy, healing was found to be unsatisfactory. The patient was referred for treatment consisting of surgical excision of the tumour.

Gingival Squamous Cell Carcinoma: A Missed Diagnosis

“…OSCC of the gingiva more frequently involves the mandible than the maxilla and is mainly seen in females over 50 years of age. 1 The present case was not consistent with the literature, as it was manifested on maxillary gingiva of a male patient <50 years of age. OSCC of the gingiva is often asymptomatic as it is insidious in onset, and initially it can present as an intraoral mass or swelling and ulceration.…”

“…Oral squamous cell carcinoma (OSCC) may account for more than 50% of all the cancer cases, with >90% of occurrence in the oral cavity. 1,2 The most common sites of occurrence are the latero-ventral surface of the tongue, floor of the mouth and buccal mucosa. A less frequent site to be affected is the gingiva, which comprises about 10% of all OSCCs and 91% of patients with gingival carcinoma are >66 years of age.…”

Squamous cell carcinoma arising in familial gingival fibromatosis—a rare case report

“…SCC is the commonest malignant neoplasm affecting structures of the oral mucosa and accounts for more than 90% of all malignant lesions in the mouth. The most common sites includes tongue and floor of mouth followed by the soft palate, gingiva and buccal mucosa [ 9 ].…”