1. Multinucleated Giant Cell Reaction in Well-differentiated Squamous Cell Carcinoma of Oral Cavity
- Author
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Preeti Rai, Rachana MeenA, and Kiran Agarwal
- Subjects
Medicine - Abstract
Squamous cell carcinoma (SCC) is the most common oral cancer and presents with diverse histopathological features based on the degree of differentiation. Major component of well- differentiated SCC includes keratinizing islands of dysplastic squamous epithelial cells and dense inflammatory response.[1] Keratin component is triggering factor for foreign body multinucleated giant cell (MGC) reaction in the stroma, which may misguide the pathologist to aggressive forms of SCC containing pleomorphic giant cells.[2] The present case aims to produce a suitable information on MGC including their pathogenesis and significance in oral SCC. A 49-year-old male presented with ulcerated growth in the right lateral border of tongue for 2 months. Patient also complained of pain and difficulty in chewing. He was chronic smoker and had a history of chewing tobacco for the past 12years. On examination, ulcerative lesion of 1 cm × 1 cm was shown in the right lateral border of tongue. Biopsy showed well- differentiated SCC. The right hemiglossectomy was done. Microscopic examination showed features of well-differentiated SCC and stroma showed dense mononuclear inflammatory cells with the presence of MGC reaction [Figure 1]. The MGCs were located surrounding the neoplastic cells and near the keratin pearls.
- Published
- 2018