PMC4484201_01
Clinical photography of oral verrucous carcinoma
PAMJ-20-297-g001.jpg
PMC4484201_01_PAMJ-20-297-g001.jpg
F0001
On examination a cauliflower-shaped exophytic lesion was present on the left lower alveolar ridge and gingiva extending to hard palate measuring 60x45cm (Figure 1).
Histological aspect of the lesion: A) exophytic and endophytic marked acanthosis and hyperkeratosis (H&E, low magnification); B) minimal cytological atypia and pushing margins without a frank infiltration (H&E, high magnification)
PAMJ-20-297-g002.jpg
PMC4484201_01_PAMJ-20-297-g002.jpg
F0002
The pathologists confirmed the clinic diagnosis of non infiltrative VC, on the base of these features: dense superficial keratinisation, dyskeratosis, minimal cytological atypia, pushing margins without a frank infiltration, nor vascular or perineural invasion (Figure 2).
Axial post-contrast CT demonstrates tissue thickening of the hard palate extended to the masseter muscle and the nasopharynx
PAMJ-20-297-g003.jpg
PMC4484201_01_PAMJ-20-297-g003.jpg
F0003
The head and neck CT showed (Figure 3) tissue thickening of the hard palate extended to the floor of the nasal cavity, with lysis of the maxillary sinus and extension to the masseter muscle, the nasopharynx and infratemporal fossa.