Article: Volume 43 Number 10 Page 950 - December 2016

  Dent Update 2016; 43: 950-952  Read article

Oral medicine:  An Interesting Case of Oral Inverted Ductal Papilloma

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Abstract: Ductal papillomas are rare benign papillary tumours of the minor salivary glands. Previously they have been classified into three subtypes: inverted ductal papilloma (IDP), sialadenoma papilliferum and intraductal papilloma. The oral inverted ductal papilloma is the least common of these lesions, with 48 cases reported to date in a search of the English-language literature. We describe an interesting case of oral IDP and highlight the pertinent clinical and histopathological features. Importantly, unlike the histologically similar inverted papilloma (IP) of the nose and paranasal sinuses, oral IDP is a completely benign lesion and is not associated with malignant change.

Clinical relevance: This case report aims to raise awareness of the lesion, oral inverted ductal papilloma (IDP). We outline the clinical features and unique histopathology of oral IDP so that clinicians may correctly diagnose such a lesion and implement appropriate treatment.

Author notes: Natasha Berridge, BSc(Hons), BDS, BM, MFDS(Eng), MRCS(Eng) (natasha.berridge@googlemail.com) and Mahesh Kumar, BDS, LDS RCS, FDS RCS, MBBS FRCS, FRCS (OMFS), Department of Oral Surgery & Orthodontics, The Hillingdon Hospital, Pield Heath Road, Uxbridge, Middlesex UB8 3NN, UK.

Objective: To understand the clinical importance of early recognition and prompt referral of clinically suspicious lesions of the oral mucosa.

ADG