Oral Squamous Papilloma: Unusual Size and Review of Literature

Abstract

Oral squamous papilloma (OSP) specifies the non-neoplastic proliferation of stratified squamous epithelium
giving rise to a verruciform or papillary growth on the surface of the oral cavity. Usually asymptomatic,
OSP presents as soft tissue growth of the oral cavity exhibiting various clinical manifestations. Human
papillomavirus (HPV) commonly HPV types 6 and 11 are believed to be the causative agents even though
not detected in some lesions. Found in 4 of every 1000 individuals OSP ranks fourth among the common
oral mucosal mass. It has equal predilection for both male and female and occurs within the age group of
30 to 50 years. Its clinical appearance imitates exophytic carcinoma, verrucous carcinoma or condyloma
acuminatum raising concern amongst the patient as well as the dental surgeon. OSP measures up to one
centimetre or so in diameter, but here we present a case where the lesion measures up to 5 centimetres in
diameter along with review of literature.