Squamous Cell Carcinoma of The Gingiva: A Case Report and Literature Review

Yıl 2015, Cilt: 5 Sayı: 4, 290 - 295, 29.12.2015

Gaye Keser Filiz Namdar Semih Ozbayrak Canan Alatlı

https://doi.org/10.5455/musbed.20150831012106

Öz

Squamous cell carcinoma (SCC) is the most frequent epithelial malignancy of the oral cavity which is characterized by variable clinical manifestations. It arises from dysplastic oral squamous epithelium. By considering the pathogenesis of SCC, the smooth and intact surface for this lesion is not usual. A 52-year-old female patient was refered to Marmara University, Faculty of Dentistry, Oral Diagnosis Clinic with a chief complaint of generalized swelling of the gingiva. There was neither significant medical and family history nor any history of medication. No bleeding was reported and submandibular lymphadenopathy (LAD) was noted. Buccal and a palatinal mucosal tissue of left maxillary first molar had a verrucous appearance. In addition to clinical examination, a smear biopsy and then incisional biopsy was performed and histopathological examination revealed the lesion had a malign characterization with a diagnosis of ‘squamous epithelium carcinoma’. Consequently, the patient was referred to Ear, Nose and Throat (ENT) department where the lesion was treated by surgery

Anahtar Kelimeler

Squamous cell carcinoma, oral diagnosis, histopathological examination

Gingivanın Skuamöz Hücreli Karsinomu: Vaka Sunumu ve Literatür Taraması

Öz

Skuamöz hücreli karsinom (SCC) oral kavitede
en sık görülen ve farklı klinik belirtiler ile karakterize malign epitelyal bir
neoplazmdır. SCC displastik oral skuamöz epitelinden doğmaktadır. SCC
patogenezi göz önüne alınırsa oluşan lezyon için pürüzsüz ve sağlam bir yüzey
olağan değildir. 52 yaşında kadın hasta dişetinde büyüme şikayeti ile Marmara Üniversitesi
Diş Hekimliği Fakültesi Oral Diagnoz Kliniğine yönlendirl­miştir. Hastanın tıbbi
anamnezinde herhangi bir sistemik hastalık olma­dığı öğrenilmiştir. Ayrıca
lenfadenopati tespit edilmemiştir. Sol maksiller birinci molar bölgede bukkal
ve palatinal mukozada verrüköz bir görün­tü oluşturan lezyon ve dokuda
hipertrofi izlenmiştir. Klinik muayeneye ek olarak ilgili bölgeden önce smear
biyopsi ve sonrasında ise insizyonel biyopsi alınmıştır. Histopatolojik
inceleme sonucunda lezyonun ‘skua­möz hücreli karsinom’ tanısı ile malign
karakterde olduğu saptanmıştır. Sonuç olarak hasta lezyonun cerrahi operasyon
ile elimine edilmesi için Kulak, Burun, Boğaz (KBB) departmanına yönlendirilmiştir.

Anahtar Kelimeler

Skuamöz hücreli karsinom, oral diagnoz, histopatolojik değerlendirme

Kaynakça

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