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Year : 2022  |  Volume : 34  |  Issue : 4  |  Page : 481-483

A diagnostic challenge of growth on the tongue in geriatric patient—A rare case report

Department of Oral Medicine and Radiology, Tamil Nadu Government Dental College and Hospital affiliated to the Tamil Nadu Dr.M.G.R. Medical University, Tamil Nadu, India

Correspondence Address:
Anitha Palanisamy
Department of Oral Medicine and Radiology, Tamil Nadu Government Dental, College and Hospital, Chennai - 600 003, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiaomr.jiaomr_291_21

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Verruciform xanthoma (VX) is an uncommon benign inflammatory mucocutaneous condition of uncertain etiopathology which occurs on the oral mucosa. Histologically, VX is distinguished from other lesions by the presence of large numbers of foam cells in connective tissue papillae. The treatment of the VX one involves local surgical excision, and recurrence is rare. An 82-year-old male patient presented with a painless growth in the tongue for the past year. On clinical examination, a white exophytic lesion was found on the right lateral border of the tongue, and a solitary cauliflower-like growth was seen on the left ventral surface of the tongue, which was painless on palpation. That was provisionally diagnosed as squamous papilloma on the left side and verrucous carcinoma on the right side. This case report describes an unusual case of two different lesions present in the tongue that have features of VX and squamous cell carcinoma.

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