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Gingival squamous cell carcinoma: A diagnostic impediment
Rekha Rani Koduganti1, Sangeeta Sehrawat, P Veerendra Nath Reddy
1Department of Periodontics, Panineeya Mahavidhyalaya Institute of Dental Sciences and Research Centre, Kamalanagar, Dilsukhnagar, Hyderabad, Andhra Pradesh, India.
Journal of Indian Society of Periodontology
|May 26, 2012
Summary
Oral squamous cell carcinoma (OSCC) is a common cancer, with gingival lesions mimicking periodontal disease. This case highlights a rare instance in a younger male, emphasizing diagnostic challenges.
Area of Science:
- Oncology
- Oral Pathology
Background:
- Oral squamous cell carcinoma (OSCC) accounts for 2-3% of cancers in men and women, respectively.
- Over 90% of oral cancers occur in individuals over 45 years old.
- Gingival lesions represent approximately 10% of OSCC cases.
Observation:
- Gingival OSCC can present as ulceration, exophytic mass, or speckled patches.
- Early bone invasion is a risk due to proximity to the periosteum.
- The condition often mimics reactive and inflammatory periodontal diseases, delaying diagnosis.
Findings:
- A rare case of gingival squamous cell carcinoma is presented in a 40-year-old male.
- Diagnosis was achieved through comprehensive case history, clinical examination, radiographic, and laboratory investigations.
- Treatment was initiated following confirmed diagnosis.
Implications:
- Delayed diagnosis of gingival OSCC can lead to poorer patient prognosis.
- Increased awareness of OSCC mimicking periodontal conditions is crucial for timely intervention.
- This case underscores the importance of thorough investigation for persistent oral lesions.