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Introduction: Oral Verrucous Carcinoma (OVC) is described apart of the Squamous Cell Carcinoma (SCC) due to
its specific properties. The objective of our study is to show our series of cases of OVC and to compare with the
SCC in terms of clinical manifestations, epidemiology, histopathology, treatment and follow-up.
Material and Methods: This is a retrospective study of all the OVC treated in our department between January-
2007 and December-2011. The analyzed variables were sex, age, localization in the oral cavity, histopathology,
number of biopsies needed to diagnose OVC, TNM classification, treatment and recurrences during follow-up.
Results: Our sample was composed by n=14 patients, 57% female, with a mean age of 69.14 years. The most com
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mon localization was buccal mucosa (n=5). Seven patients were diagnosed of OVC with the first biopsy. TNM
classification was: pT1: 7 patients, pT2: 3 patients, pT3: 3 patients, pT4: 1 patient. No cervical metastases were
observed either in cervical neck dissection or during the follow-up of the patients. The treatment was surgery with
clinical resection margins up to 1 cm in all cases, followed by radiotherapy in selected cases. Only n=1 patient
(7.69%) presented a recurrence after 34 months of follow-up. The overall survival rate was 92.85%.
Conclusions: In our population, OVC represents the 6.16% of all oral cavity and oropharynx cancer, and is more
frequent in female patients above 70 years old. It uses to rise over a previous lesion, and usually affects the buccal
mucosa. In patients with high suspicious lesions, more than one biopsy may be needed to diagnose OVC. No pa
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tient showed cervical dissemination. In our experience, treatment based on local resection, without cervical neck
dissection, could be a good option for these patients.
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