IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain

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A rare case of oral carcinoma in a patient of paediatric age group

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Author Details: Mohd Athar, Anupama Singh, Sanjay Kala, Ashish chaudhary, Manoj Srivastava, Vardan Pandey

Volume : 2

Issue : 3

Online ISSN : 2581-5229

Print ISSN : 2581-5210

Article First Page : 83

Article End Page : 87

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Abstract

Squamous cell carcinoma of the gingiva make up a significant percentage of oral squamous cell carcinoma in adult age group and one of the most common causes of death worldwide in adult age group. Cancers of the gingiva often escape early detection, and hence an early intervention, since their initial signs and symptoms resemble common dental and periodontal infections.
Oral cavity squamous cell carcinoma (OCSCC) is rare in paediatric patients (defined by the American Academy of Paediatrics as patients under age 21), accounting for approximately 1 in 1,000 cases. OCSCC in paediatric patients is believed to be etiologically distinct from adult OCSCC, because the usual risk factors such as tobacco and alcohol exposure are typically absent.
This article presents a case of a 13-year-old female patient who presented with a non-healing ulcer intra orally and a discharging sinus over left side of chin extra orally about 4 months after teeth extraction. The patient was advised a complete haemogram, orthopantomograph, and intra-oral periapical radiograph of the extraction socket.  Radiographs revealed extensive bone loss, and the biopsy report confirmed the diagnosis of squamous cell carcinoma grade 2 of the alveolus. Carcinoma of the gingiva often mimics inflammatory lesions and hence is often misdiagnosed.

Keywords: Gingiva, Mandibulectomy, Pectoralis major myocutaneous flap, Squomous cell cancer, Supraomohyoid neck dissection