Oral traumatic granuloma: report of a case and review of literature

Abstract

– Traumatic granuloma is an uncommon condition considered to be a benign, reactive lesion that usually affects the tongue. The exact pathogenesis implicated in the development of this lesion is not clear. However, trauma has been found to be a contributing factor in a majority of the cases. Clinically, it often presents as an ulceration or an indurated submucosal mass. Microscopically, it is characterized by a diffuse polymorphic cell infiltrate composed predominantly of eosinophils extending deep into the submucosa causing degeneration of the underlying muscle. Recognition of the lesion is important because it often mimics oral squamous cell carcinoma. But traumatic granuloma is self‐limiting and tends to resolve spontaneously. This paper describes a case of traumatic granuloma on the dorsal surface of tongue in a 62‐year‐old woman. The clinical aspects, pathogenesis and histopathology of this uncommon lesion are discussed with an emphasis on its benign, self‐limiting nature.

Eosinophilic ulcer of the tongue in an 80-year-old Iranian woman after a psychologically stressful event

“…In experimental studies, repeated injuries to the tongue in rats demonstrate similar lesions 4. Others have suggested that trauma is only a contributing factor in the development of EUOM and could facilitate the entry of unidentified aetiological factors such as microorganisms, toxins or foreign proteins into the underlying tissue to cause an inflammatory response 1 2 4. On the other hand, trauma is identified in less than 50% of cases 1.…”

“…Owing to the rapid growth, ulcerative nature and indurated borders of the usually single lesion, this condition can mimic SCC 1 2 6. In our patient, the clinical feature was so similar to SCC that the ENT specialist talked to the patient and her family about the necessity of hemiglosectomy and ipsilateral lymph node dissection after confirming the diagnosis by pathology.…”

“…In our patient, the clinical feature was so similar to SCC that the ENT specialist talked to the patient and her family about the necessity of hemiglosectomy and ipsilateral lymph node dissection after confirming the diagnosis by pathology. Other tumoral lesions such as lymphoma, lymphangioma, minor salivary gland tumours and metastatic tumours may be included in the differential diagnosis 1. Some infectious diseases such as primary syphilis, oral tuberculosis and fungal infections are found in the clinical differential diagnosis list 2.…”

Riga Fede Disease - A Case Report

“…It is usually unifocal, though multi-focal lesions and recurrences will be there occasionally. Both the sexes are equally affected and common in infant's .RFD is mostly associated with the eruption of primary lower incisor in older infants or natal teeth and neonatal teeth in newborns 6 .…”

Management of Riga-Fede disease: A Case Report

“…Natal teeth are not common; the prevalence ranges from one in 2000 to 1 in 3000 live births and are commonly lower central incisors [4] it occurs in babies less than two years of age. Commonly ulcer is present on the tongue (60% of the lesions), but other areas such as lip, palate, gingiva, vestibular mucosa and floor of the mouth may be the ulcer site [5]. It is a benign mucosal ulcer [6].…”