Gingival Squamous Cell Carcinoma: a Case Report

Cabral, Luiz Antonio Guimarães; de Carvalho, Luis Felipe das Chagas E Silva; Salgado, José Antônio Pereira; Brandão, Adriana Aigotti Haberbeck; Almeida, Janete Dias

doi:10.5037/jomr.2010.1306

Gingival Squamous Cell Carcinoma: a Case Report

Luiz Antonio Guimarães Cabral, Luis Felipe das Chagas e Silva de Carvalho, José Antônio Pereira Salgado, Adriana Aigotti Haberbeck Brandão, Janete Dias Almeida

J Oral Maxillofac Res 2010 (Jul-Sep);1(3):e6

doi:10.5037/jomr.2010.1306

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Gingival Squamous Cell Carcinoma: a Case Report

Luiz Antonio Guimarães Cabral¹, Luis Felipe das Chagas e Silva de Carvalho², José Antônio Pereira Salgado³, Adriana Aigotti Haberbeck Brandão⁴, Janete Dias Almeida¹

¹Department of Biosciences and Oral Diagnosis, São José dos Campos Dental School, São Paulo State University - UNESP, São José dos Campos, São Paulo, Brazil

²São Paulo State University - UNESP, São José dos Campos Dental School, Postgraduation Program in Oral Biopathology, São José dos Campos, São Paulo, Brazil and Federal University of ABC, Postgraduation Program in Nanosciences and Advanced Materials, Santo André, São Paulo, Brazil

³Department of Social Science and Pediatric Dentistry, São José dos Campos Dental School, São Paulo State University - UNESP, São José dos Campos, São Paulo, Brazil

⁴Department of Biosciences and Oral Diagnosis, São José dos Campos Dental School, São Paulo State University - UNESP, São José dos Campos, São Paulo, Brazil

Corresponding author:

Janete Dias Almeida

Faculdade de Odontologia de São José dos Campos – UNESP

Departamento de Biociências e Diagnóstico Bucal

Av. Francisco José Longo, 777 São Dimas, 12245-000, São José dos Campos, São Paulo

Brazil

Fax: 055211239479010

E-mail: janete@fosjc.unesp.br

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Copyright and Permissions

Copyright © Cabral LA, Carvalho LF, Salgado JA, Brandão AA, Almeida JD. Accepted for publication in the JOURNAL OF ORAL & MAXILLOFACIAL RESEARCH (http://www.ejomr.org), 7 July 2010.

This is an open-access article, first published in the JOURNAL OF ORAL & MAXILLOFACIAL RESEARCH, distributed under the terms of the Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 Unported License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work and is properly cited. The copyright, license information and link to the original publication on (http://www.ejomr.org) must be included.

ABSTRACT

Background: Squamous cell carcinoma is a malignant epithelial neoplasm characterized by variable clinical manifestations. When located in the gingiva, this neoplasm may mimic common inflammatory lesions. The aim of this study was to report a case of atypical squamous cell carcinoma, in which the patient had no risk factors for the development of this neoplasm.

Methods: A 61 year old Caucasian female was seen with a 3 month history of a rapidly growing, painful nodule in the gingiva adjacent to tooth #11. Clinical examination revealed a proliferative lesion in the vestibular marginal gingiva of teeth #11 and #12, presenting with purulent exudation. Thus, in view of the clinical symptoms and differential diagnosis of an infectious granulomatous process and malignant neoplasm, an incisional biopsy was obtained from the lesion.

Results: The diagnosis of squamous cell carcinoma was made and fourteen days after incisional biopsy, healing was found to be unsatisfactory. The patient was referred for treatment consisting of surgical excision of the tumour. A removable partial denture was fabricated for rehabilitation, one month after surgery of the maxilla; the patient was submitted to dissection of the regional lymph nodes and radiotherapy for an additional 3 months. Three years after the end of treatment, the patient continues to be followed-up and does not show any sign of recurrence.

Conclusions: Gingival squamous cell carcinoma is a condition which chance of cure is higher when carcinomatous lesions are diagnosed and treated early. In this instance dentists play an important role in early detection of gingival squamous cell carcinoma.

J Oral Maxillofac Res 2010 (Jul-Sep);1(3):e6

doi:10.5037/jomr.2010.1306

Accepted for publication: 7 July 2010

Keywords: oral cancer; squamous cell carcinoma; gingival neoplasms; gingival recession; early detection of cancer.

To cite this article:

Cabral LA, Carvalho LF, Salgado JA, Brandão AA, Almeida JD.

Gingival Squamous Cell Carcinoma: a Case Report.

J Oral Maxillofac Res 2010 (Jul-Sep);1(3):e6

URL: http://www.ejomr.org/JOMR/archives/2010/3/e6/e6ht.htm

doi: 10.5037/jomr.2010.1306

Received: 25 February 2010 | Accepted: 7 July 2010 | Published: 1 October 2010