Gingival Squamous Cell Carcinoma: a Case Report

Abstract

BackgroundSquamous cell carcinoma is a malignant epithelial neoplasm characterized by variable clinical manifestations. When located in the gingiva, this neoplasm may mimic common inflammatory lesions. The aim of this study was to report a case of atypical squamous cell carcinoma, in which the patient had no risk factors for the development of this neoplasm.MethodsA 61 year old Caucasian female was seen with a 3 month history of a rapidly growing, painful nodule in the gingiva adjacent to tooth #11. Clinical examination revealed a proliferative lesion in the vestibular marginal gingiva of teeth #11 and #12, presenting with purulent exudation. Thus, in view of the clinical symptoms and differential diagnosis of an infectious granulomatous process and malignant neoplasm, an incisional biopsy was obtained from the lesion.ResultsThe diagnosis of 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. A removable partial denture was fabricated for rehabilitation, one month after surgery of the maxilla; the patient was submitted to dissection of the regional lymph nodes and radiotherapy for an additional 3 months. Three years after the end of treatment, the patient continues to be followed-up and does not show any sign of recurrence.ConclusionsGingival squamous cell carcinoma is a condition which chance of cure is higher when carcinomatous lesions are diagnosed and treated early. In this instance dentists play an important role in early detection of gingival squamous cell carcinoma.

Adenoid squamous cell carcinoma of right gingivobuccal sulcus – A rare case report

“…1 Tumor of upper alveolar ridge and hard palate is not very common with upper gingival cancers constituting nearly 3.5% of all oral malignancies, age of presentation mainly in 4 th -5 th decade. 1,2 The risk factors are alcohol and tobacco both of which act as local irritants to the mucosa. 3 In India these are among the top fi ve cancers and highest among woman because of habitual betel nut chewing.…”

“…The disproportionately higher prevalence of head and neck neoplasm in India may be due to the use of tobacco in various forms. 1,2 The incidence is two to three times more frequent in men than women owing to increased tobacco abuse. 2 Gingivobuccal sulcus, hard palate and maxilla are uncommon and diagnosed at an advanced stage due to delay in presentation.…”

“…1,2 The incidence is two to three times more frequent in men than women owing to increased tobacco abuse. 2 Gingivobuccal sulcus, hard palate and maxilla are uncommon and diagnosed at an advanced stage due to delay in presentation. 1 These cancers are metastasized rapidly to submandibular and deep cervical lymph nodes and also responsible for death in many cases.…”

Gingival squamous cell carcinoma masquerading as an aphthous ulcer

“…It is uncommon for an aphthous ulcer to present on the attached gingiva but such cases have been documented in the literature. [18] Earlier studies on GSCC have reported the lesion on posterior mandible,[16192021] posterior maxilla,[1422] anterior maxilla[1523] and anterior mandible. [24] To the best of our knowledge, this is the first case report on the above mentioned anatomic location.…”

Sobrevida en Carcinoma Espinocelular De Mucosa Oral: Análisis De 161 Pacientes

“…La manifestación clínica es variada, en estadíos tempranos se puede observar una lesión leucoplá-sica, eritroplásica, leucoeritroplásica o una úlcera pequeña asintomática. En etapas más avanzadas puede presentarse como masa exofítica o endofítica, con borde irregular, indurada y de fondo sucio 12,13 . El diagnóstico temprano es difícil debido a la poca sintomatología que presenta, esto provoca que la mayoría de los pacientes consulten cuando las lesiones han alcanzado gran tamaño, siendo entonces el tratamiento más complicado y el pronóstico peor 14 .…”