Giant Cell Fibroma in a Paediatric Patient: A Rare Case Report

Reddy, Veera Kishore Kumar; Kumar, Naveen; Battepati, Prashant M; Samyuktha, Lalitha; Nanga, Swapna Priya

doi:10.1155/2015/240374

Cited by 9 publications

(19 citation statements)

References 13 publications

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“…The clinical aspects of the lesion in this 2-year-old girl are similar to the ones reported by other authors [2, 4, 5, 10, 12, 13], as it presented a fibrous pedunculated asymptomatic characteristic; it was small, precisely less than 1 centimeter in size.…”

Section: Discussionsupporting

confidence: 87%

“…Regarding location, the lesion was found in the lingual gingival mucosa next to the lower right primary incisors, which confirms the information provided in the literature [2, 4, 8, 13, 20]. It is more commonly found in the mandible gingiva than in the maxilla (2 : 1) [2, 8, 13].…”

Section: Discussionsupporting

confidence: 84%

“…Despite this fact, the giant cell fibroma has its own particularities, that is, its own histological features and the prevalence of occurrence in certain (i) age groups, (ii) sex, and (iii) races, which makes it distinct from other lesions [1, 4, 5, 8, 11]. Last but not least, it should be noted that conducting a histopathological examination is essential to confirm the giant cell fibroma diagnosis [1, 5, 9, 11, 13]. …”

Section: Discussionmentioning

confidence: 99%

“…When present, the inflammatory infiltrate is mono- and polimorfonuclear [1, 10, 11]. Giant cell fibroma could be diagnosed only on histopathological examination [5, 13]. …”

Section: Introductionmentioning

confidence: 99%

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Giant Cell Fibroma in a Two-Year-Old Child

Mello‐Moura

Santos

Bonini

et al. 2016

Case Reports in Dentistry

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The giant cell fibroma is a benign nonneoplastic fibrous tumor of the oral mucosa. It occurs in the first three decades of life in the mandibular gingiva, predominantly, showing predilection for females. This article reports a case of giant cell fibroma in a 2-year-old girl, which is an uncommon age for this lesion. The patient was brought for treatment at the Research and Clinical Center of Dental Trauma in Primary Teeth, where practice for the Discipline of Pediatric Dentistry (Faculty of Dentistry, University of São Paulo, Brazil) takes place. During clinical examination, a tissue growth was detected on the lingual gingival mucosa of the lower right primary incisors teeth. The lesion was excised under local anesthesia and submitted to histological examination at the Oral Pathology Department of the Faculty of Dentistry, University of São Paulo, which confirmed the diagnosis of giant cell fibroma. There was no recurrence after 20 months of monitoring. This instance reinforces the importance of oral care from the very first months of life in order to enable doctors to make precocious diagnosis and offer more appropriate treatments for oral diseases, as well as to promote more efficient oral health in the community.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

“…When present, the inflammatory infiltrate is mono- and polimorfonuclear [1, 10, 11]. Giant cell fibroma could be diagnosed only on histopathological examination [5, 13]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Giant Cell Fibroma in a Two-Year-Old Child

Mello‐Moura

Santos

Bonini

et al. 2016

Case Reports in Dentistry

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“…The treatment of choice for this lesion is conservative surgical excision, with a rare reoccurrence rate. 10,11,18 Electrosurgery is an alternative option for treatment and has the advantage of direct tissue hemostasis without the need for sutures. Recall visits are necessary to ensure the absence of recurrence.…”

Section: Discussionmentioning

confidence: 99%

Melanotic Macule in Conjunction with a Giant Cell Fibroma

Seitz

Dinh

Yoon

2017

The Journal of Contemporary Dental Practice

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Introduction The aim of this study is to describe a case of a melanotic macule found in conjunction with a giant cell fibroma (GCF). For oral pigmented lesions without an identifiable etiologic factor, critical factors in determining the differential diagnosis are clinical history, symmetry, and uniformity of the lesions. Potential differential diagnosis includes racial pigmentation, endocrine disturbance, Peutz–Jeghers syndrome, trauma, hemochromatosis, oral malignant melanoma, or idiopathic etiology and melanotic macules. Melanotic macules are the most common solitary pigmented melanocytic lesions in the oral mucosa, corresponding to 86.1% of melanocytic lesions of the mouth. Giant cell fibromas are reactive connective tissue lesions in the oral cavity. They were first described as a distinct entity in 1974 by Weathers and Callihan and make up around 5 to 10% of all oral mucosa fibrous lesions. They are commonly mistaken for other growths, such as pyogenic granuloma and fibroma, and diagnosis is accurately based on its distinctive histopathology. This article presents the clinicopathologic findings of a 15-year-old Hispanic male presenting for biopsy of a melanotic macule on the mandibular anterior buccal gingiva. Histologic evaluation of the specimen revealed that the lesion also contained a GCF. Pathologic lesions of the mouth should be carefully diagnosed. Conventionally, histologic evaluation is the gold standard to produce a final diagnosis. As evidenced in this article, multiple lesions may exist in a site and may be mistakenly diagnosed as a single entity. Clinical significance While each lesion has been reported individually, in reviewing the literature, no cases were reported in which both histopathologic findings of GCF and melanotic macule were present within the same lesion. How to cite this article Seitz SD, Dinh TN, Yoon TYH. Melanotic Macule in Conjunction with a Giant Cell Fibroma. J Contemp Dent Pract 2017;18(10):981-985.

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Peripheral Exophytic Oral Lesions: A Clinical Decision Tree

Mortazavi

Safi

Baharvand

et al. 2017

International Journal of Dentistry

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Diagnosis of peripheral oral exophytic lesions might be quite challenging. This review article aimed to introduce a decision tree for oral exophytic lesions according to their clinical features. General search engines and specialized databases including PubMed, PubMed Central, Medline Plus, EBSCO, Science Direct, Scopus, Embase, and authenticated textbooks were used to find relevant topics by means of keywords such as “oral soft tissue lesion,” “oral tumor like lesion,” “oral mucosal enlargement,” and “oral exophytic lesion.” Related English-language articles published since 1988 to 2016 in both medical and dental journals were appraised. Upon compilation of data, peripheral oral exophytic lesions were categorized into two major groups according to their surface texture: smooth (mesenchymal or nonsquamous epithelium-originated) and rough (squamous epithelium-originated). Lesions with smooth surface were also categorized into three subgroups according to their general frequency: reactive hyperplastic lesions/inflammatory hyperplasia, salivary gland lesions (nonneoplastic and neoplastic), and mesenchymal lesions (benign and malignant neoplasms). In addition, lesions with rough surface were summarized in six more common lesions. In total, 29 entities were organized in the form of a decision tree in order to help clinicians establish a logical diagnosis by a stepwise progression method.

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Giant Cell Fibroma in a Paediatric Patient: A Rare Case Report

Cited by 9 publications

References 13 publications

Giant Cell Fibroma in a Two-Year-Old Child

Giant Cell Fibroma in a Two-Year-Old Child

Melanotic Macule in Conjunction with a Giant Cell Fibroma

Peripheral Exophytic Oral Lesions: A Clinical Decision Tree

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