Journal of Indian Society of Periodontology
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CASE REPORT
Year : 2021  |  Volume : 25  |  Issue : 1  |  Page : 61-64

Gingival squamous cell carcinoma masquerading as necrotizing ulcerative periodontitis

Saif Khan1, Kafil Akhtar2, Abdul Ahad3, Jaiti Uppal1
1 Department of Periodontics, Dr. Ziauddin Ahmad Dental College, Faculty of Medicine, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
2 Department of Pathology, J N Medical College, Faculty of Medicine, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
3 Department of Dentistry, Palamu Medical College, Palamu, Jharkhand, India

Correspondence Address:
Saif Khan
Department of Periodontics and Community Dentistry, Dr. Ziauddin Ahmad Dental College, Faculty of Medicine, Aligarh Muslim University, Aligarh, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jisp.jisp_175_20

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Necrotizing ulcerative periodontitis (NUP) is a painful and debilitating condition seen mostly in an immunocompromised state. Although squamous cell carcinoma (SCC) on gingiva is not uncommon, its presentation as a benign necrotizing lesion on gingiva is rare. Such presentations may lead to delayed diagnosis and poor prognosis. This report describes a case of a 34-year-old male presenting clinically with NUP around mandibular posterior teeth. Clinical features were misleading, but the histological findings established the diagnosis of well-differentiated SCC. Immunohistochemistry also showed features of epithelial–mesenchymal transition with decreased expression of E-cadherin and increased vimentin expression showing local invasion and metastasis. The patient was referred to the oncology department for evaluation of possible metastasis and further management of carcinoma.


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