Abstract
BackgroundOral carcinoma cuniculatum (OCC) is an unacquainted well-differentiated subtype of oral squamous cell carcinoma, which displays unique clinic-pathological features. Up to date, OCC remains rare with about 75 reported cases, and is frequently missed or even misdiagnosed.Case presentationThe aim of the present work was: to report a case of OCC in mandibular gingiva and to highlight its main clinic-pathological diagnostic features: with an exophytic cobble-stone surface and a characteristic endophytic burrowing architecture, as well as to differentiate between it and other closely similar lesions including verrucous carcinoma, papillary squamous cell carcinoma, and well-differentiated conventional oral squamous cell carcinoma.ConclusionsAn accurate diagnosis of OCC entails awareness of the clinicians and pathologists about its entity, proper knowledge of the diagnostic clinical and histopathological evidence, and the ability to differentiate it from closely similar lesions.
Highlights
Oral carcinoma cuniculatum (OCC) is an unacquainted well-differentiated subtype of oral squamous cell carcinoma, which displays unique clinic-pathological features
A plethora of synonyms were used in the past denoting this entity such as epithelioma cuniculatum, Buschke–Lowenstein tumor, and inverted verrucous carcinoma (VC) [1, 2, 5]
OCC and VC were considered as different subtypes, of being confused in the past [1, 8]
Summary
Oral carcinoma cuniculatum (OCC) is an unacquainted well-differentiated subtype of oral squamous cell carcinoma, which displays unique clinic-pathological features. OCC remains rare with about 75 reported cases, and is frequently missed or even misdiagnosed. Case presentation: The aim of the present work was: to report a case of OCC in mandibular gingiva and to highlight its main clinic-pathological diagnostic features: with an exophytic cobble-stone surface and a characteristic endophytic burrowing architecture, as well as to differentiate between it and other closely similar lesions including verrucous carcinoma, papillary squamous cell carcinoma, and well-differentiated conventional oral squamous cell carcinoma. In terms of its unique clinical and pathological aspects, the World Health Organization (WHO) declared CC of the oral cavity, called oral carcinoma cuniculatum (OCC), as a separate well-differentiated subtype of oral squamous cell carcinoma (OSCC) in 2005 and 2017. We present a new case of OCC in the gingiva of an elderly female
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