PMC8214479_01
Clinical photograph showing a solitary, firm, ulcerative tissue measuring 2 x 2 centimetres on the alveolar mucosa near the premolar region.
CRID2021-6673038.001.jpg
PMC8214479_01_CRID2021-6673038.001.jpg
fig1
On stretching the cheek mucosa, a tooth root was found extruding from the socket impinging on the soft tissue counterpart surrounding areas (Figures 1 and 2).
Clinical photograph showing the stretching of the cheek mucosa a tooth root found extruding from the socket impinging on the soft tissue counterpart surrounding areas.
CRID2021-6673038.002.jpg
PMC8214479_01_CRID2021-6673038.002.jpg
fig2
On stretching the cheek mucosa, a tooth root was found extruding from the socket impinging on the soft tissue counterpart surrounding areas (Figures 1 and 2).
Clinical photograph showing a completely removed tooth under local anaesthesia.
CRID2021-6673038.003.jpg
PMC8214479_01_CRID2021-6673038.003.jpg
fig3
Extraction of the tooth root was performed under local anaesthesia (Figure 3).
Clinical photograph showing nodular proliferous ulcerative growth measuring 3 x 2 centimetres on the alveolar mucosa.
CRID2021-6673038.004.jpg
PMC8214479_01_CRID2021-6673038.004.jpg
fig4
On intraoral examination, nodular proliferous ulcerative growth measuring 3 x 2 centimetres was found on the alveolar mucosa near the premolar-molar region with focal areas of white spots (Figure 4).
Clinical image showing a wide local surgical excision performed under local anaesthesia.
CRID2021-6673038.005.jpg
PMC8214479_01_CRID2021-6673038.005.jpg
fig5
A wide local surgical excision was planned and performed under local anaesthesia (Figure 5).
Histopathology of completely excised specimen showed verrucous configuration with a broad bulbous rete pegs with pushing margins in many areas along with features of mild dysplasia and few areas of parakeratin plugging (H&E, original magnification: x40).
CRID2021-6673038.006.jpg
PMC8214479_01_CRID2021-6673038.006.jpg
fig6
In this instance, though varied clinical course of the disease was noted, the histological result of the complete surgical specimen showed features of verrucous carcinoma similar to the reports obtained during the incisional biopsy thus ruling out squamous cell carcinoma evolved from a verrucous carcinoma (Figure 6).