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Neeta Mohanty ¹, Shubhangi Pareek ¹, Sreepreeti Champatyray ¹

Affiliations
1 Department of Oral and Maxillofacial Pathology and Microbiology, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN

Abstract

Nasopalatine duct cyst is the most commonly encountered epithelial non odontogenic cyst of the maxilla. Epithelial remnants of the nasopalatine duct triggered due to some sort of irritation in the form of infection or spontaneously may give rise to Nasopalatine duct cyst. The final diagnosis can only be made based upon the clinical, radiological and most importantly histopathological findings. Treatment strategies mainly incorporate enucleation of the lesion followed by marsupialization as indicated in some cases. We present here a case of Nasopalatine duct cyst in a 45-year-old male which was diagnosed clinically as dentigerous cyst in association with an impacted tooth but a conclusive diagnosis of nasopalatine duct cyst was finally made based upon the histopathological findings.

Keywords

Nasopalatine Duct Cyst, Marsupialization, Histopathology, Radiology.

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Shubhangi Pareek ¹, Swagatika Panda ², Tariq Soyab ³, Anurag Satpathy ⁴, Rashmita Nayak ⁴, Neeta Mohanty ²

Affiliations
1 Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
2 Department of Oral and Maxillofacial Pathology and Microbiology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
3 Institute of Dental Sciences, Department of Oral and Maxillofacial Pathology and Microbiology, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
4 Department of Periodontics and Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN

Abstract

Oral Verruciform xanthoma (OVX) is a benign mucocutaneous, rare, asymptomatic lesion of unknown etiology and ambiguous nature involving the oral mucous membrane of the middle-aged during the fifth to seventh decadeof life. Clinically it may be presented as a verrucous, polyploid or sessile mass mostly solitary and slow growing in the hard palate,gingival, tongue or buccal mucosa. Colour of the lesion may vary from white, pink or red and there is a slight male predilection. The histopathological features of OVX are however pathognomonic, characterized by the presence of lipid- laden foam cells confined to the papillary areas of connective tissue. The final diagnosis is always histopathological as its clinical features are not distinct and OVX must always be considered in the differential diagnosis of other verrucous and papillary lesions. Treatment of OVX is complete surgical excision with follow up to avoid its recurrence. We present2 cases of oral verruciform Xanthoma, which were provisionally misdiagnosed as pyogenic granuloma and traumatic fibroma respectively based upon their clinical presentation and after a thorough histopathological examination revealed an entirely different diagnosis in both the cases.

Keywords

Oral Verruciform Xanthoma, OVX, Mucocutaneous Lesion, Foam Cells.

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