Early Detection and Multidisciplinary Management of Gingival Squamous Cell Carcinoma in a Young Adult

Abstract

Gingival squamous cell carcinoma (GSCC) is an uncommon and aggressive tumour that usually leads to a clinical picture, which closely resembles various inflammatory diseases of the periodontium, thereby posing a diagnostic challenge and may further compromise the patient's prognosis. In this report, we present a 32-year-old male patient with GSCC and underscore the importance of timely diagnosis and close monitoring in the management of the disease. The patient was a male who came with a complaint of pain and swelling in the mandibular right posterior region, which was suggestive of Periodontal inflammation. Histological examination of prompt biopsy confirmed squamous cell carcinoma, which was well differentiated. A complete management plan was adopted, namely, partial mandibulectomy, radiotherapy, and chemotherapy and the patient improved greatly one year after the diagnosis. This case again raises the possibility of malignancy in chronic gingival swellings and underlines the value of early management in GSCC.