A Variant Case of Oral Squamous Cell Carcinoma

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. A 60 Year old male patient was presented to the department with complains of pain and ulcer in the upper right back region of jaw. On clinical examination erythromatous ulceroproliferative growth extending from 24 to 28 region anteroposteriorly measuring 4 cm and supero inferiorly extends from buccal vestibule to 1/3rd of palate. Growth was diffuse and erythematous halo was present. Floor was covered with slough, edge was everted in respect to posterior aspect and sharp in anterior and tender with the surrounding mucosa normal. 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. We conclude by emphasizing on the need of careful analysis of all the histopathological and other investigations of Squamous cell carcinoma.