ABSTRACT
Reactive lesions of the oral cavity are non-neoplastic proliferations occurring due to chronic irritation. Peripheral ossifying fibroma (POF) is a reactive lesion usually occurring on the interdental papilla. POF is predominantly found in the second decade of life with a definitive female predilection. This is a case report of a middle-aged male patient with gingival overgrowth in left lower back tooth region. Clinically, the lesion was asymptomatic, firm, pale pink and sessile but unusually large in size. Surgical excision of the lesion was done followed by histopathological confirmation with emphasis on the diagnosis. The case in question is interesting because of its large size and location.
Subject(s)
Fibroma, Ossifying , Gingival Neoplasms , Humans , Male , Fibroma, Ossifying/diagnosis , Fibroma, Ossifying/surgery , Fibroma, Ossifying/pathology , Fibroma, Ossifying/diagnostic imaging , Gingival Neoplasms/diagnosis , Gingival Neoplasms/pathology , Gingival Neoplasms/surgery , Middle Aged , Gingiva/pathology , Gingiva/surgery , Diagnosis, DifferentialABSTRACT
Verrucous carcinoma, a low-grade variant of squamous cell carcinoma, defined as a diagnostically squamous cell neoplasia involving lip, oropharyngeal, and laryngeal mucosa and named as 'Ackerman's tumour' by Ackerman in 1948. It usually occurs in the lower lip region and this is one such case in which a painful proliferative growth was evident over the right alveolar region for the period of 8 months. Radiological investigations, biopsies were performed followed by surgical excision of the lesion.
Subject(s)
Carcinoma, Squamous Cell , Carcinoma, Verrucous , Lip Neoplasms , Mouth Neoplasms , Humans , Mouth Neoplasms/diagnosis , Mouth Neoplasms/surgery , Carcinoma, Verrucous/diagnosis , Carcinoma, Verrucous/surgery , Lip , Carcinoma, Squamous Cell/diagnostic imaging , Carcinoma, Squamous Cell/surgeryABSTRACT
Neurofibroma is a benign peripheral nerve sheath tumor and is the most frequent tumor of neural origin. Its presence is one of the clinical criteria for the diagnosis of neurofibromatosis type 1 (NF1; a common hereditary disease occurring in one out of every 3000 births). The diagnosis can sometimes be made at birth, while in others the diagnosis is made later in life after the appearance of additional clinical criteria. Majority of the solitary neurofibromas are sporadic, while a few are associated with NF1 syndrome. Oral hard and soft tissue are affected by the tumor; however, the tongue is the most affected site. Gingival neurofibroma is an uncommon oral manifestation of NF. Here, we report a rare case of gingival neurofibroma in NF1 patient. One of the most feared complications of NF1 is its transformation into neurofibrosarcoma, which bears a very poor prognosis. Treatment of neurofibroma is surgical resection.