Hafize ÖZTÜRK ÖZENER, Leyla KURU, Bahar KURU

Oral skuamöz hücreli papillom: Bir olgu raporu

Oral skuamöz hücreli papillom (OSHP), çok katlı epitelin benign proliferasyonu sonucu meydana gelen papiller veya verrüköz ekzofitik kitledir ve genellikle human papilloma virüs ile ilişkilendirilir. Ağzın herhangi bir yerinde görülebilen lezyonların yerleşim alanı sıklıkla dil, dudak ve yumuşak damaktır. Sistemik olarak sağlıklı 10 yaşındaki kız çocuğunun üst sağ santral dişinin vestibül yüzeyinde soliter saplı, yumuşak, pembe-beyaz renkli ve karnabahar görünümündeki lezyonun asemptomatik olduğu ve 1 yıldır yavaş büyüme gösterdiği öğrenildi. Bölgenin periapikal radyografisinde dental ve periodontal dokuların normal olduğu gözlendi. Diş yüzeyi temizliği ve kök yüzeyi düzleştirilmesinden 1 ay sonra lokal anestezi altında lezyon bistüriyle eksize edildi; takiben kanama kontrolünün sağlanması, post-operatif dönemde minimal ağrı ve skar oluşumu, ve dezenfeksiyon sağlanması amaçlarıyla Nd:YAG lazer (1064 nm, 20 Hz, 3 W) uygulandı. Makroskopik olarak 1.1×0.5×0.2 cm3 boyutlarında, sarı renkli ve yüzeyi pürtüklü lezyonun histolopatolojik incelemesinde, çok katlı epitel altında bağ dokusu, çok sayıda rete pegler ve papiller kısımda spinöz hücre proliferasyonu izlendi ve OSHP tanısı kondu. Lezyonda viral sitopatik etki veya malignite bulgusuna rastlanmadı. Hastanın 4 yıllık takibinde rekürrans görülmedi.

Anahtar Kelimeler:

Histolojik değerlendirme, human papilloma virus, lazer, papilloma

Oral squamous cell papilloma: a case report

Oral squamous cell papilloma (OSCP) is a benign proliferation of the stratified squamous epithelium, which results in a papillary or verrucous exophytic mass. OSCP is usually associated with human papilloma virus. Although any surface of the oral cavity can be affected, the sites of predilection for localization of the lesions include the tongue, lip and soft palate. In this report, treatment and histological findings of a local gingival enlargement at the vestibular side of the upper right central tooth of a 10 year-old systemically healthy girl are presented. The lesion was asymptomatic and had shown a slow growth. Solitary, exophytic lesion was clinically soft, pink-white in color and appeared as cauliflower. Dental and periodontal tissues were radiographically normal. One month after scaling and root planing, under local anesthesia the lesion was excised and this was followed by the use of Nd: YAG laser (1064 nm, 20 Hz, 3 W) to control bleeding, minimize pain and scarring in post-operative period, and provide sterilization. Macroscopic examination revealed that the lesion was 1.1×0.5×0.2 cm3 in size, yellow in colour and had a rough surface, while histological examination showed multi-layer connective tissue underlying the squamous epithelium, numerous rete pegs and spinous cell proliferation at the papillary and OSCP was diagnosed. There was no evidence of viral cytopathic effect or malignancy of the lesion. No recurrence was observed during the 4-year follow-up period.

Keywords:

Histological examination, human papilloma virus, lasers, papilloma,

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