A 60-year-old male patient was presented with the chief complaint of long standing growth of left buccal mucosa near the corner of mouth. The growth was first noticed approximately 18 months back, which showed slow and continuous enlargement over past one and half year. The swelling interferes while eating, speaking, and swallowing. There was no past history of trauma. Past medical history, past dental history of the patient was non-contributory. Patient gave a history of bidi smoking occasionally since 20 years.

General examination Patient was of normal built and height. Vital signs were normal, and there was no abnormality detected on systemic examination. Extra oral examination of the patient revealed that there was no facial asymmetry, and there was no lymph node enlargement. Intraoral examination revealed that patient was edentulous, except for the presence of 23. A…