Oral Papillary Squamous Cell Carcinoma of Tongue: A Very Rare Presenation

Abstract

Oral Papillary Squamous Cell Carcinoma (OPSCC) is a rare and a very occasional variant of squamous cell carcinoma with somewhat of a propitious prognosis. Generally, this OPSCC affects in the 6th -7th decade of life with a slight male predilection. PSCC generally mimics Verrucous Carcinoma (VC)in its papillary and verrucous appearance, but cellular atypia is not seen in VC as compared to PSCC. Generally, PSCC are solitary lesions or a collection of papillary lesions all having fibrovascular core and some even evolving from pre-existing papilloma. A 30-year-old male patient reported to the out -patient department of Oral and Maxillofacial Surgery with complain of unusual growth on the right side of tongue for two months. Incisional biopsy was done which later confirmed us on the diagnosis being Well differentiated Papillary Squamous Cell Carcinoma of the tongue. The treatment protocol included bilateral selective omohyoid neck dissection where in the right side up to level IV neck dissection was done and on the left side up to level IV neck dissection was done. This case report provides the details regarding the post-operative quality of life and associated complications of the same.