ORAL SQUAMOUS PAPILLOMA OF BUCCAL MUCOSA: A CASE REPORT

Abstract

Oral squamous papilloma is a benign proliferation of the stratified squamous epithelium, which results in a papillary or verrucous exophytic mass, that arise from the mucosal surface. The foremost common site is the palate uvula area followed by tongue, lips and buccal mucosa. The etiology remains unknown. Treatment usually requires total excision and recurrence is rare. Here, we are reporting a case of squamous papilloma in the left side of the buccal mucosa in 50 year old male patient.
Keywords: squamous papilloma, buccal mucosa, tumor, excisional biopsy

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r
vemrni
22,
Nr.
1
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67)
Dhjetor,
2022
ISSN
2308-5290
Revista
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Dentare
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REVISTA
STOMATOLOGJIKE
SHQIPTARE
/
ALBANIAN
DENTAL
JOURNAL
Vellimi/Volume
22
Nr./No.1
dhe
2
(66,
67)
Dhjetor
/
December
2022
Permbajtja/Tob/eo/
Contents
~
rtikuj
[!
rticles
Nr./No
.2
Fa(fe/Page
Saktesia
e
analizes
cefalometrike
ne
diagnozen
dhe
planin
e
trajtimit
ortodontik
te
pacienteve
me
ma
l
okluzion
dento-skeletal,
klase
Ill
dhe
klase
II.
(Rishikim
literature)
83
Aurora
lsufi,
Renato
lsufi,
Vergjini
Mulo,
Lidija
Kanurkova
Accurancy
of
cephalometric
analyses
in
the
diagnosis
and
orthodontic
treatment
planning
of
patients
with
dentoskeletal
class
Ill
and
class
II
malocclusion
(Literature
review)
94
Aurora
lsufi
,
Renato
lsufi,
Vergjini
Muto
,
Lidija
Kanurkova
Defektet
e
lindura
te
buzes
dhe
qie
ll
zes
dhe
trajtimi
i
tyre
ne
sherbimin
e
kirurgjise
OMF,
QSUT
"Nene
Tereza"
,
Tira~
1ITT
Ramazan
lfusi
,
Renaldo
Toska
, E
nd
rit
Paparis~o
Cleft
lip
and
palate
and
its
m
an
age
m
ent
in
OM
F
surgery
unit,
UHC
"Mother
Teresa"
,
Tirana
110
Ramazan
lfusi,
Renaldo
Toska
,
End
ri
t
Pa
p
aristo
Papiloma
skuamoze
orate
e
mukozes
bukale:
Raportim
rasti
113
Muhamet
Bajrami
,
Irena
Stojanova,
Bruno
Nikolovski,
Mirjana
Markovska
Arsovska,
Stavre
Trajculeski,
Vera
Radojkova
Nikolovska
,
Biljana
Zafirova
Oral
squamous
papilloma
of
buccal
mucosa:
A
case
report
117
Muhamet
Bajrami,
Irena
Stojanova,
Bruno
Nikolovski,
Mirjana
Markovska
Arsovska,
Stavre
Trajculeski
,
Vera
Radojkova
Nikolovska
,
Biljana
Zafirova
Atricioni
dentar;
rehabilit
i
mi
total
i
nje
denticioni
me
atricion:
Raportim
rasti
lrida
Cenolli,
Endrit
Paparisto,
Edit
Xhajanka
Dental
attrition;
full
mouth
rehabilitation
of
dental
attrition:
Case
report
lrida
Cenolli,
Endrit
Paparisto,
Edit
Xhajanka
Trajtimi
endodontik
i
dhembeve
te
perhershem
me
apeks
te
paformuar
(Raportim
rasti)
Daniela
Kume,
Arna
Mino,
Adela
Alushi,
Klaudja
Legisi
Endodontic
treatment
of
permament
teeth
with
unformed
apex
(Case
Report)
Daniela
Kume,
Arna
Mino
,
Adela
Alushi
,
Klaudja
Leg
i
si
120
125
129
132
7

--
ORAL SQUAMOUS PAPILLOMA OF BUCCAL MUCOSA: A CASE REPORT
Muhamet Bajrami1, Irena Stojanova1
, Bruno Nlkolovski1
•2,
MlrjanaMarkovska Arsovskal,
Stavre Trajculeski', Vera Radojkova Nlkolovska3, Blljana Zaflrova4
1University Dental Clinical Center "St. Pantelejmon
",
Clinic.for Oral surgery
and
lmplanto/ogy,
Skopje, North Macedonia
2University "Goce Delcev ", Faculty
of
Medical Sciences, Slip, North Macedonia
3University
"Ss.
Cyril
and
Methodius, Faculty
of
Dentistry, Department
for
Periodontology
and
Oral pathology, Skopje, North Macedonia
4Faculty
of
Medicine, Ss Cyril
and
Methodius University in Skopje, Macedonia
Abstract
Oral
squamous papilloma
is
a benign
proliferation
of
the stratified squamous
epithelium, which results in a papillary or
verrucous exophytic mass,that arise from the
mucosa! surface. The foremost common site
is
the palate uvula area followed by
tongue,lips and buccal mucosa. The etiology
remains unknown. Treatment usually
requires total excision and recurrence
is
rare.
Here, we are reporting a case
of
squamous
papilloma in the left side
of
the buccal
mucosa in 50 year old male patient.
Keywords: squamous papilloma, buccal
mucosa, tumor,excisional biopsy.
Introduction
Oral
squamous papilloma
is
a common
lesion
of
the oral mucosa. It's a benign
proliferation
of
the stratified squamous
epithelium, which ends up
in
a well
demarcated, white
or
normal colored lesion,
that arise from the mucosa! surface. The
sites
of
predilection for localization
of
the
lesions include the tongue, lips and soft
palate (20%), but any surface
of
the mouth
can
be
affected. The intraoral papilloma
typically
is
clinically presented
as
slow
growing, well-demarcated lesion, usually
with normal coloured mucosa and smooth
surface, sessile or pedunculated base, and
hard consistency,causing difficulties
in
mastication and speech. The dimensions
of
the growth
is
generally smaller than
1.5
cm.We presenta case
of
0,9 cm
of
squamous papilloma arising from buccal
mucosa
in
oral cavity.
Case presentation
A
50
years old
man
was referred
to
the
University Dental Clinical Center "St.
Pantelejmon", Skopje, North Macedonia.
Thus, the patient reported a presence
of
a
"ball"
in
his mouth approximately three
months. Hecomplained on hurting the cheek
while eating. This painless ball became
ulcerous, started bleeding and accompanied
with pain. Nevertheless, the entire medical
history revealed
no
systemic diseases. The
left submandibular lymph nodes were non
palpable and non tender. The intraoral
examination revealed a soft nodule with size
1,0
x 0,5cm, located on the buccal mucosa
of
the left side, covered by normal and
healthy soft tissue. Intraorally on palpation,
it
was ovoid and firm
in
terms
of
consistency (Fig. I).
117

........
Figure 1. Preoperative clinical findings
There were no other lesions in the oral blood pressure examination. The patient
cavity, nor extraorally. A provisional underwent surgical excis ion of the les
ion
,
diagnosis
of
Oral squamous papilloma was performed under local anesthesia. Local
set. infiltrative anesthesia (mepivacaine (3%)
In the pre-surgical preparation, all the with vasoconstrictor) was injected around
normal range
of
preoperative routine the lesion. This was followed
by
surgic
al
investigations was collected. It included: incision with a scalpel blade No.
15
(Fig.2).
complete blood count, coagulation tests and
Figure 2. Instruments used
for
specimen removing
After the removal
of
the lesion, the incision was sutured with 3-0 black silk suture(Fig.3).
Figure 3. Wou
nd
suturing
118

Surgical
exc1s1on
of
the lesion was
perfonned with a 1
mm
depth towards
the
submucosa. Based
on
the histopathological
confinnation, we set the final diagnosis
of
"squamous papilloma" and
the
patient
wasinvited for a recall after
10
days.
The
histopathological report
of
surgical
biopsyshowselliptical submucosal lesion
with 0,9 x 0,6cm wideness and
0,
1 cm
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thickness. Connective tissue mass lined by
stratified squamous epithelium with signs
of
acanthosis, parakeratosis, mild
papillomatosis, moderate superficial
keratosis and koilocytosis. Subepithelially,
dermal connective collagen tissue
is
seen
and also scarce chronic inflammatory
substrate is found. (Fig.4)
Figure
4.
a)
Histopathologicalfinding
b)
Microscopic view
of
the specimen
Discussion benign, HPV-induced epithelial hyperplasia.
Oral squamous papilloma
is
a generic term The oral squamous papilloma is usually
that is used to include papillary and diagnosed in people between 20-50 years.
verrucous growth composed
of
benign The common sites are the palate, uvula,
epithelium and connective tissue. tongue and lips. The lesions generally
Some are pedunculated and others are measure less than 1 cm
in
range. The lesions
sessile. Some are single; other are multiple are generally asymptomatic as shown in our
or diffusely involve broad areas
of
the oral presented case above. Squamous papillomas
mucosa. The squamous papilloma is the are traditionally divided into two types:
fourth most common oral mucosa! mass and isolated-solitary and multiple-recurring.The
forms 3-4%
of
all biopsied oral soft tissue exact etiology
is
unknown but the squamous
lesions. It was first reported
as
a gingival papilloma is strongly associated with human
"wart" by Tomes in 1848 and
is
localized, papilloma virus (HPV).(Table
1)
Table
1.
Oral disease and associated human papilloma virus
G
enotypes
Oral disease Human papilloma virus
Types
Verruca vulgaris 2,4
Squamous papilloma
6,11
Condylomata
6,11
Focal epithelial 13,32
hyperplasia
Verrucous carcinoma
6,
11,
16
119

Although many oral squamous papillomas
appear to be virally induced, the infectivity
of
the
HPV
must be
of
a very low order. The
path
of
transmission
of
the virus
is
unknown
for oral lesions. Surgical removal
is
the
treatment
of
choice by either routine
excision
or
laser ablation. Any identifiable
irritant such as ill-fitting dental appliance
and rough restoration should be removed.
Long-term postoperative follow-up
is
extremely important because
of
the high rate
of
reoccurrence
of
incompletely removed
lesion.
Conclusion
Clinical results obtained by the use
of
conventional surgical technique for
removing squamous papillomas in 50-year-
old patient was satisfactory. The technique
has proven to be simple and safe. Moreover,
patient discomfort is• minimal and healing
was rapid and effective.
References
1.
Jaju PP, Suvama PV, Desai RS. Squamous
papilloma: case report and review
of
literature. Int J Oral Sci. 2010;2(4):222-5.
2. Eduardo Vidor Vieira,AngeloJose Pavan,
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of
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PMID:
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PMID: 21804057.
ATRICIONI DENTAR; REHABILITIMI TOTAL I NJE DENTICIONI ME ATRICION:
RAPORTIM RASTI
Dr. Irida Cenolli1, Dr. Endrit Paparisto2, Prof. Asoc. Edit Xhajanka3
1
Klinika Dentare Bluetooth
2
Klinike Dentare Private
3
Fakulteti i Mjekesise Dentare
Abstrakt
Atricioni eshte nje dukuri qe e po e ndeshim
gjithmone e me shpesh ne klinikat tona,
madje dhe ne mosha te reja. Kjo dukuri
behet prevalente ne individe ne rnoshe te
madhe, te cilet
si
pasoje e semundjeve
120
kronike perdorin mjekime te ndryshme qe
~ojne ne tharje te gojes apo regurgitacion.
Por verehet dhe ne mosha me te reja,
te
cilet
kane ndryshime ne menyren e ushqyerjes
duke ndikuar direkt ne fluksin e ulet salivar,