Verrucous hyperplasia with moderate oral epithelial dysplasia: A case report


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Article type :

Case Report

Author :

Qazi Saba, Akshay Rathore, Achom Uma, Sylvia Waikhom

Volume :

11

Issue :

3

Abstract :

Objective: To present a case of verrucous hyperplasia (VH) with moderate epithelial dysplasia in a 52-year-old male, detailing clinical features, histopathological findings, and treatment.Case Presentation: A 52-year-old male reported pain and a gradually enlarging lesion on the left buccal mucosa for six months. He had a prior history of bidi smoking and gutka consumption, though discontinued 3–4 years ago. Clinical examination revealed a corrugated, tender, whitish-pink mass on the left buccal mucosa with associated oral submucous fibrosis. Histopathology of the excised lesion confirmed VH with moderate dysplasia.Results: The lesion was managed surgically with adjuvant topical therapy, including corticosteroids and Immunomodulator drugs. Follow-up indicated clinical improvement with no evidence of recurrence.Conclusion: Early diagnosis and intervention in VH are essential to prevent progression to verrucous carcinoma. Histopathology remains crucial for differentiation from other potentially malignant lesions.

Keyword :

Verrucous hyperplasia, Oral epithelial dysplasia, Oral potentially malignant disorder, Buccal mucosa.