case_images: PMC4484201_01
case_images: Clinical photography of oral verrucous carcinoma
case_images: PAMJ-20-297-g001.jpg
case_images: PMC4484201_01_PAMJ-20-297-g001.jpg
case_images: F0001
case_images: On examination a cauliflower-shaped exophytic lesion was present on the left lower alveolar ridge and gingiva extending to hard palate measuring 60x45cm (Figure 1).
case_images: Histological aspect of the lesion: A) exophytic and endophytic marked acanthosis and hyperkeratosis (H&E, low magnification); B) minimal cytological atypia and pushing margins without a frank infiltration (H&E, high magnification)
case_images: PAMJ-20-297-g002.jpg
case_images: PMC4484201_01_PAMJ-20-297-g002.jpg
case_images: F0002
case_images: The pathologists confirmed the clinic diagnosis of non infiltrative VC, on the base of these features: dense superficial keratinisation, dyskeratosis, minimal cytological atypia, pushing margins without a frank infiltration, nor vascular or perineural invasion (Figure 2).
case_images: Axial post-contrast CT demonstrates tissue thickening of the hard palate extended to the masseter muscle and the nasopharynx
case_images: PAMJ-20-297-g003.jpg
case_images: PMC4484201_01_PAMJ-20-297-g003.jpg
case_images: F0003
case_images: The head and neck CT showed (Figure 3) tissue thickening of the hard palate extended to the floor of the nasal cavity, with lysis of the maxillary sinus and extension to the masseter muscle, the nasopharynx and infratemporal fossa.