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An interesting case of oral inverted ductal papilloma Natasha Berridge Mahesh Kumar Dental Update 2024 43:10, 707-709.
Authors
NatashaBerridge
BSc(Hons), BDS, BM, MFDS(Eng), MRCS(Eng)
Department of Oral Surgery & Orthodontics, The Hillingdon Hospital, Pield Heath Road, Uxbridge, Middlesex UB8 3NN, UK (natasha.berridge@googlemail.com)
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.
CPD/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.
Article
Ductal papillomas are rare, benign, papillary tumours of the minor salivary glands. They represent adenomas with unique histopathological features that arise from the excretory ducts of the salivary glands. The World Health Organization (WHO)1 classifies ductal papillomas into three sub-types: inverted ductal papilloma (IDP), sialadenoma papilliferum and intraductal papilloma.
The oral IDP, first described by White et al (1982),2 is the least common lesion of the three subtypes, with a reported 48 cases to date in a search of the English-language literature.2,3,4,5,6,7,8,9,10,11,12,13,14 We describe an interesting case of IDP occurring in the buccal mucosa of an elderly woman, including the histopathological findings and pertinent clinical features.
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