EVALUATION OF CASES OF EXOPHYTIC VERRUCOUS HYPERPLASIA IN ORAL SUBMUCOUS FIBROSIS IN BIHAR

Verrucous hyperplasia probably represents a morphological variant of verrucous carcinoma by Slootwage J P and Muller H (1983). An essential feature in distinguishing verrucous hyperplasia from verrucous carcinoma is the location of the thickened epithelium with respect to adjacent normal appearing epithelium. In verrucous hyperplasia most of the hyperplastic broadened rete ridges lay above the adjacent normal epithelium while verrucous carcinoma on contrary exhibits a downward growth pattern of otherwise similar rete ridges. Hence based on above findings the present study was planned in Evaluation of Cases of Exophytic Verrucous Hyperplasia in Oral Submucous Fibrosis in Bihar. The present study was planned in Department of Dentistry, netaji subhash Medical College & Hospital, Bihta, Patna, Bihar. Conventional oral examination (COE) of 30 patients with Oral submucous fibrosis (OSMF) was performed using incandescent operatory light. Out of that 6 cases having Verrucopapillary lesion were evaluated in the present study. The data generated from the present study concluded that patients with highly suspicious malignant verrucous growths on VEL scope examination exhibited increased auto fluorescence and on histopathological examination revealed no signs of dysplasia or invasion. Exhibition of increased autofluorescence of these lesions on VELscope examination could greatly help to determine their nondysplastic nature. Keywords: Verrucous hyperplasia, Verrucous carcinoma, Oral Submucous Fibrosis, etc.