Squamous Papilloma of the Buccal Mucosa with Oral Submucous Fibrosis

Abstract

The squamous papilloma is a common benign oral epithelial neoplasm [11. Naik R, Nithin KP, Mujib BR, Rai KK (2014) An Unusual Presentation of Squamous Papilloma on the Buccal Mucosa. Indian Journal of Multidisciplinary Dentistry 4: 1015-18.]. Papilloma usually presents as an exophytic, painless papillary mass [22. Neville BW, Damm DD, Allen CM, Bouquot JE (2009) Oral and maxillofacial pathology. 3rd ed. Philadelphia. Elsevier p362-63.]. Oral Submucous Fibrosis is a premalignant condition [33. Auluck A, Rosin MP, Zhag L, Sumanth KN (2008) Oral Submucous Fibrosis, a Clinically Benign but Potentially Malignant Disease: Report of 3 Cases and Review of the Literature. J Can Dent Assoc 74: 735-40.]. A 45 year old female patient presented with growth in inner side of left cheek region. Patient had history of gutka chewing for past 6 years. On intra oral examination, the growth was pinkish, strawberry like in appearance with a papillary surface in the right buccal mucosa (Figure 1). Generalized blanching of oral mucosa was present (Figure 2). The growth was not tender on palpation and firm in consistency. The growth was pedunculated with no induration or bleeding on palpation. Palpable fibrotic bands were present in the buccal mucosa.