Oral verrucous hyperplasia (OVH) is a slow growing, soft tissue premalignant lesion which can transform into oral cancer. Areca-nut and quid use do seem to have a significant influence on the appearance of oral verrucous hyperplasia. Most frequently observed sites are buccal mucosa and lateral border of the tongue. OVH begins as a white plaque of hyperkeratosis known as plaque type variant which can get further transformed into mass type with less keratinization, exophytic growth and proliferative features thus leading to malignant transformation and poorer prognosis. This article describes series of cases which have been diagnosed histopathologically as verrucous hyperplasia with its clinical presentation and histopathological variants along with the criteria elaborated by different authors in establishing a diagnosis and a brief overview of the treatment modalities.
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