Verruciform Xanthoma of the Buccal Gingiva: Two Cases With Different Clinical Presentations

Abstract

IntroductionVerruciform xanthoma is an uncommon, benign, asymptomatic lesion commonly affecting the attached tissues in the oral cavity, especially the gingiva. Clinical presentation can be variable and requires biopsy to confirm the diagnosis.Case SeriesTwo cases of verruciform xanthoma in a 21‐year‐old male and a 46‐year‐old female are reported, emphasizing the need for thorough comprehensive analysis of all oral lesions. The clinical features, differential diagnoses, typical and atypical histological features, and potential etiology are presented.ConclusionsVerruciform xanthoma should be considered in the differential diagnosis of solitary lesions in the oral cavity with a papillary, granular, or verrucous surface texture, and confirmed with histopathological examination. Continued monitoring for recurrence at routine examination is necessary especially in sites where the lesion may not have been completely excised.