PERIPHERAL GINGIVAL MASSES IN PAEDIATRIC PATIENTS: ODONTOGENIC FIBRO-MYXOMA & GIANT CELL GRANULOMA – A REPORT of 2 cases

Mrunal Meshram, Rahul R Bhowate, Shuchi Batra

Abstract


Soft tissue enlargements of the oral cavity present a diagnostic challenge because a diverse group of pathologic processes can produce such lesions. World Health Organization classification of benign odotogenic tumors grouped OFM as benign tumors of ectomesenchymal origin with or without odontogenic epithelium. The lesion often grows without symptoms and presents as a painless swelling. It commonly occurs in the second and third decade showing mandible commonly involved than maxilla. The peripheral giant cell granuloma (PGCG) is a benign inflammatory hyperplastic type of lesion of unknown etiology occurring in gingiva or alveolar ridge. It normally presents as a soft tissue purplish-red nodule consisting of multinucleated giant cells in a background of mononuclear stromal cells and extravasated red blood cells. This article reports two cases one of odontogenic fibromyxoma and another of Peripheral Giant Cell Granuloma; in pediatric patients. Both the lesion were excised and sent for histopathologic examination which confirmed the diagnosis. The accepted treatment protocol includes surgical excision followed by histopathologic evaluation and follow-up. Early and definite diagnosis correlating clinical, radiologic and histopathologic examination is important for conservative management of such lesion thus eliminating potential risk to adjacent hard tissue structures.


Keywords


Oral Exophytic Lesions, Peripheral Fibromyxoma, Giant cell granuloma lesions.

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