INTERNATIONAL COMPILATION OF RESEARCH AND STUDIES IN DENTISTRY, DOÇ. DR. VOLKAN ARIKAN,DOÇ. DR. IDRIS KAVUT, Editör, INTERNATIONAL COMPILATION OF RESEARCH AND STUDIES IN DENTISTRY, Ankara, ss.95-102, 2025
Oral squamous papilloma (OSP) is a benign epithelial lesion that typically presents as a slow-growing, pedunculated, cauliflower-like mass in the oral cavity. This case report describes a patient with a well-defined, pedunculated, pinkish-white lesion on the palatal mucosa that had gradually enlarged over the years without pain, bleeding, or functional complaints. Clinical examination showed a soft, elastic, mobile, non-tender mass with a characteristic papillomatous surface, and radiographic evaluation revealed no associated pathology. Complete surgical excision was performed under local anesthesia, followed by primary closure and routine postoperative care. Gross examination demonstrated a pedunculated specimen measuring approximately 0.9 × 0.5 × 0.3 cm with multiple finger-like projections. Histopathology revealed papillomatous epithelial extensions with irregular acanthosis and marked hyperparakeratosis supported by thin fibrovascular cores; koilocytotic changes were present superficially, while the basal/parabasal layers showed no atypia or invasion. These findings confirmed the diagnosis of OSP. Healing was uneventful, and no recurrence or early complications were observed during follow-up (including a six-month postoperative control).