Oral Verrucous Hyperplasia with Dysplasia – A Case Report

ABSTRACT

Introduction: Verrucous Papillary Lesions (VPLs) clinically present themselves as an exophytic growth seen commonly as grey- white in color. A dominant part of the favorable VPLs have viral etiology and incorporate commonly occurring squamous papil- loma alongside verruca vulgaris, central epithelial hyperplasia, and condyloma. Current comprehension of possibly malignant VPLs is astounding and is basically ascribed to the utilization of confounding and unacceptable terminology. Verrucous Hyper- plasia (VH) of the oral mucosa is a relatively intricate entity possessing paradoxical features making it difficult to diagnose when compared to other verruco-papillary lesions such as Verrucous Carcinoma (VC). Case Presentation This case report depicts the presentation of Oral verrucous hyperplasia along with dysplasia seen in buccal mucosa of a 46-year-old patient. Management and Prognosis Surgical excision was performed and ensured that margins were included in the excision to avoid any recurrence of the lesion. Conclusion: The most dependable approach to isolate these substances on routine hematoxylin-eosin stained tissue areas is to perceive the exophytic growth patterns of oral verrucous hyperplasia from the combined exophytic and endophytic growth patterns related with verrucous carcinoma. Furthermore, investigations on this are required using Immunohistochemical meth- ods.