Verrucous papillary lesions: dilemmas in diagnosis and terminology

Verrucous papillary lesions (VPLs) of oral cavity are diagnostically challenging as they include a spectrum of benign, potentially malignant, and frankly malignant lesions. A majority of the benign VPLs have viral aetiology and include commonly occurring squamous papilloma along with verruca vulgari...

Full description

Bibliographic Details
Main Authors: Kallarakkal, T.G., Ramanathan, A., Zain, R.B.
Format: Article
Language:English
Published: 2013
Subjects:
Online Access:http://eprints.um.edu.my/8580/1/2.pdf
_version_ 1825719556638769152
author Kallarakkal, T.G.
Ramanathan, A.
Zain, R.B.
author_facet Kallarakkal, T.G.
Ramanathan, A.
Zain, R.B.
author_sort Kallarakkal, T.G.
collection UM
description Verrucous papillary lesions (VPLs) of oral cavity are diagnostically challenging as they include a spectrum of benign, potentially malignant, and frankly malignant lesions. A majority of the benign VPLs have viral aetiology and include commonly occurring squamous papilloma along with verruca vulgaris, focal epithelial hyperplasia, and condyloma. Current understanding of potentially malignant VPLs is perplexing and is primarily attributed to the use of confusing and unsatisfactory terminology. Clinically and histologically oral verrucous hyperplasia, a potentially malignant disorder, resembles oral verrucous carcinoma and may be indistinguishable from one another. The most reliable way to separate these entities on routine haematoxylin-eosin stained tissue sections is to recognize the exophytic growth patterns of oral verrucous hyperplasia from the combined exophytic and endophytic growth patterns associated with verrucous carcinoma. A review of the literature showed that there is a lot of confusion regarding the current clinical and histopathological guidelines to diagnose this potentially malignant entity. The criteria elaborated by different authors in establishing the diagnosis of oral verrucous hyperplasia are discussed in detail. A brief overview of the treatment modalities adopted is also discussed. The need for establishing a clear understanding of this potentially malignant entity is stressed as it may have far reaching implications on its management.
first_indexed 2024-03-06T05:21:34Z
format Article
id um.eprints-8580
institution Universiti Malaya
language English
last_indexed 2024-03-06T05:21:34Z
publishDate 2013
record_format dspace
spelling um.eprints-85802013-11-28T02:52:12Z http://eprints.um.edu.my/8580/ Verrucous papillary lesions: dilemmas in diagnosis and terminology Kallarakkal, T.G. Ramanathan, A. Zain, R.B. R Medicine Verrucous papillary lesions (VPLs) of oral cavity are diagnostically challenging as they include a spectrum of benign, potentially malignant, and frankly malignant lesions. A majority of the benign VPLs have viral aetiology and include commonly occurring squamous papilloma along with verruca vulgaris, focal epithelial hyperplasia, and condyloma. Current understanding of potentially malignant VPLs is perplexing and is primarily attributed to the use of confusing and unsatisfactory terminology. Clinically and histologically oral verrucous hyperplasia, a potentially malignant disorder, resembles oral verrucous carcinoma and may be indistinguishable from one another. The most reliable way to separate these entities on routine haematoxylin-eosin stained tissue sections is to recognize the exophytic growth patterns of oral verrucous hyperplasia from the combined exophytic and endophytic growth patterns associated with verrucous carcinoma. A review of the literature showed that there is a lot of confusion regarding the current clinical and histopathological guidelines to diagnose this potentially malignant entity. The criteria elaborated by different authors in establishing the diagnosis of oral verrucous hyperplasia are discussed in detail. A brief overview of the treatment modalities adopted is also discussed. The need for establishing a clear understanding of this potentially malignant entity is stressed as it may have far reaching implications on its management. 2013 Article PeerReviewed application/pdf en http://eprints.um.edu.my/8580/1/2.pdf Kallarakkal, T.G. and Ramanathan, A. and Zain, R.B. (2013) Verrucous papillary lesions: dilemmas in diagnosis and terminology. International Journal of Medicinal Mushrooms. ISSN 1521-9437, DOI PMID: 24223590. http://www.ncbi.nlm.nih.gov/pubmed/24223590 PMID: 24223590
spellingShingle R Medicine
Kallarakkal, T.G.
Ramanathan, A.
Zain, R.B.
Verrucous papillary lesions: dilemmas in diagnosis and terminology
title Verrucous papillary lesions: dilemmas in diagnosis and terminology
title_full Verrucous papillary lesions: dilemmas in diagnosis and terminology
title_fullStr Verrucous papillary lesions: dilemmas in diagnosis and terminology
title_full_unstemmed Verrucous papillary lesions: dilemmas in diagnosis and terminology
title_short Verrucous papillary lesions: dilemmas in diagnosis and terminology
title_sort verrucous papillary lesions dilemmas in diagnosis and terminology
topic R Medicine
url http://eprints.um.edu.my/8580/1/2.pdf
work_keys_str_mv AT kallarakkaltg verrucouspapillarylesionsdilemmasindiagnosisandterminology
AT ramanathana verrucouspapillarylesionsdilemmasindiagnosisandterminology
AT zainrb verrucouspapillarylesionsdilemmasindiagnosisandterminology