Abstract

Verruciform xanthoma is an uncommon benign mucocutaneous lesion that has a verruciform (wart-like) appearance. It was first described by Shafer in the year 1971 affecting the oral mucosa. The most common site for verruciform xanthoma is the oral mucosa. Extraoral verruciform xanthoma is extremely uncommon. It has been reported on the anogenital skin such as the vulva, scrotum, penis, and extremities. These lesions typically show presence of foamy histiocytes in the connective papillae. We present a rare case of verruciform xanthoma arising on the tongue in a middle-aged male.

Highlights

  • IntroductionVerruciform xanthoma is an uncommon benign mucocutaneous lesion that has a verruciform (wart-like) appearance [1]

  • Verruciform xanthoma is an uncommon benign mucocutaneous lesion that has a verruciform appearance [1]

  • Histopathological examination is the gold standard for the diagnosis of verruciform xanthomas

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Summary

Introduction

Verruciform xanthoma is an uncommon benign mucocutaneous lesion that has a verruciform (wart-like) appearance [1]. It was first described by Shafer in the year 1971 affecting the oral mucosa [2]. Extraoral verruciform xanthoma is extremely uncommon; it has been reported on the anogenital skin such as the vulva, scrotum, penis, and extremities [3,4] These lesions can be mistaken for benign, premalignant and malignant conditions. Histopathological examination is the gold standard for the diagnosis of verruciform xanthomas These lesions are characterized by the presence of Para keratinized epithelium having papillary or verrucous growth with connective tissue papillae extending up to the surface. The patient did well postoperatively, and no recurrence was noted two months post -surgery

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