牙龈鳞状细胞癌是一种常见病,占口腔癌的6％,早期发现至关重要。作者介绍1例少见的最初表现为无恶性症状源于龈沟内壁的牙龈癌。患者,女,66岁,有吸烟史。1985年行常规牙周治疗。临床检查6近中牙周脓肿,伴9mm牙周袋,牙龈无溃疡、硬结或其他恶性征象。X线未表现骨板膨大示牙槽骨角形吸收。选用抗菌素和牙周翻瓣术治疗,切除牙周袋内发炎组织。约8个月后,此区再行膜龈翻瓣术。之后定期随访4年,患者无明显症 Gingival squamous cell carcinoma is a common disease, accounting for 6% of oral cancer, early detection is crucial. The authors describe a rare case of gingival cancer initially characterized by non-malignant symptoms originating from the inner gingival sulcus. Patient, female, 66 years old with a history of smoking. 1985 routine periodontal treatment. Clinical examination of 6 near mid-periodontal abscess, with 9mm periodontal pocket, no ulceration of the gums, induration or other malignant signs. X-ray showed no expansion of the bone showed alveolar bone angle absorption. Selected antibiotics and periodontal flap surgery, removal of periodontal pocket inflamed tissue. About 8 months later, this area again gingival flap surgery. After a regular follow-up of 4 years, the patient no obvious disease