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Year : 2020  |  Volume : 32  |  Issue : 2  |  Page : 196-198

Oral verruciform xanthoma: The great imitator

1 Scandent Imaging Pvt. Ltd., Matunga, Navi Mumbai, Maharashtra, India
2 Department of Oral Medicine and Radiology, YMT Dental College and Research Center, Khargar, Navi Mumbai, Maharashtra, India
3 Department Oral Oncology Unit, SRJ CBCC Cancer Hospital and Research Center, Indore, Madhya Pradesh, India
4 Department of Oral Medicine and Radiology, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India

Correspondence Address:
Dr. Sweety Lalawat
Scandent Imaging Pvt. Ltd., Mumbai, Maharashtra; Address: 102, Gumasta Nagar, Near Vyankatesh Dwar, Indore - 452009, (M.P)
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiaomr.jiaomr_61_20

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Oral Verruciform xanthoma (OVX) is an uncommon benign muco-cutaneous lesion having various concepts regarding its etiopathogenesis. Intraorally, this usually occurs on the gingiva and alveolar mucosa. Often asymptomatic, this lesion presents with a flat to verruco-papillary surface morphology. The clinical features of OVX can be misleading and resembles diverse hyperplastic, non-malignant, potentially malignant, and malignant lesions of the oral cavity. Histopathological examination is a key for the diagnosis of this lesion with xanthoma cells being the hallmark. Surgical excision remains the treatment modality and recurrence is rare. This paper presents a case of oral verruciform xanthoma on the buccal mucosa, mimicking a potentially malignant lesion, and a review of its major clinical, histological features and differential diagnosis.

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