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Verruciform Xanthoma of the Buccal Gingiva: Two Cases With Different Clinical Presentations
Author(s) -
Marlow Allison K.,
Ramos Elizabeth D.,
Blanchard Steven B.
Publication year - 2018
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1002/cap.10017
Subject(s) - medicine , xanthoma , differential diagnosis , lesion , asymptomatic , etiology , dermatology , pathology
Verruciform xanthoma is an uncommon, benign, asymptomatic lesion commonly affecting the attached tissues in the oral cavity, especially the gingiva. Clinical presentation can be variable and requires biopsy to confirm the diagnosis. Case Series Two cases of verruciform xanthoma in a 21‐year‐old male and a 46‐year‐old female are reported, emphasizing the need for thorough comprehensive analysis of all oral lesions. The clinical features, differential diagnoses, typical and atypical histological features, and potential etiology are presented. Conclusions Verruciform xanthoma should be considered in the differential diagnosis of solitary lesions in the oral cavity with a papillary, granular, or verrucous surface texture, and confirmed with histopathological examination. Continued monitoring for recurrence at routine examination is necessary especially in sites where the lesion may not have been completely excised.