Oral Squamous Cell Carcinoma in a 5-Year-Old Patient: A Rare Clinical Entity and Literature Review
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CASE REPORT
Oral Squamous Cell Carcinoma in a 5-Year-Old Patient: A Rare Clinical Entity and Literature Review Ramesh Ram Fry1 • Dinesh Chand Patidar1 • Deepika Patidar2 • Aakanksha Sharma1 Sanjay Talnia3 • Samta Goyal4
•
Received: 29 January 2019 / Accepted: 12 September 2019 Ó The Association of Oral and Maxillofacial Surgeons of India 2019
Introduction Oral Squamous Cell Carcinoma (OSCC) primarily affects people above 40 years of age and is extremely rare in pediatric patients (B 20 years) [1, 2]. Approximately 1 in 1000 cases of head and neck SCC will occur in patients 20 years or younger [3]. The risk factors and clinical behavior of this rare disease are poorly understood, due to limited number of reports of OSCC in pediatric patients [1]. Clinically, a growing swelling associated with teeth in a pediatric patient could mislead for a reactive lesion or an odontogenic tumor
& Dinesh Chand Patidar [email protected]
[1, 4]. This article presents a case of oral squamous cell carcinoma in a 5-year-old child.
Case Report A 5-year-old male patient accompanied by his parents reported to the Oral and Maxillofacial Surgery department, MMCDSR, Mullana, with the chief complaint of swelling in his lower right back tooth region since 20 days. Being unaware of the disease, they visited local medical practitioner who had given the routine treatment for the swelling. Instead of responding to the respective treatment, the lesion progressed to the present status (Fig. 1). There was no associated significant medical or family history.
Ramesh Ram Fry [email protected]
Clinical Examination
Deepika Patidar [email protected]
The patient’s complete history was recorded, and clinical examination was carried out. No evident positive findings were seen extraorally. On intraoral examination, a diffuse and erythematous ulcerative lesion was seen, obliterating the vestibule and extending from distal to right side of deciduous canine to deciduous second molar with buccolingual extension measuring approximately 3 cm 9 4 cm. Lesion was non-compressible, sessile and tender on palpation. Submandibular lymph nodes were palpable and non-tender. There were no neurosensory alterations on affected side. Mandibular deciduous second molars on both the sides were found grossly carious.
Aakanksha Sharma [email protected] Sanjay Talnia [email protected] Samta Goyal [email protected] 1
Department of Oral and Maxillofacial Surgery, Maharishi Markandeshwar College of Dental Sciences and Research, Mullana, Ambala, Haryana, India
2
Department of Pediatric and Preventive Dentistry, Maharishi Markandeshwar College of Dental Sciences and Research, Mullana, Ambala, Haryana, India
3
Oral and Maxillofacial Surgeon, Ambala, Haryana, India
4
Department of Oral and Maxillofacial Surgery, Rayat Bahra University, Mohali, Punjab, India
Radiographic Investigation Orthopantomogram (OPG) revealed grossly carious 74 75 84 85 with root resorption seen in 84 85 and pathological
123
J. Maxillofac. Oral Surg.
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