巨大纤维性牙龈瘤——一例长达10年病损的病例报告

Massive fibrous epulis-a case report of a 10-year-old lesion.

作者信息

Fonseca Gabriel M, Fonseca Ricardo M, Cantín Mario

机构信息

Department of Oral Pathology, Faculty of Dentistry, National University of Cordoba, Cordoba, Argentina.

1] Doctoral Program in Morphological Sciences, Faculty of Dentistry, Universidad La Frontera, Temuco, Chile [2] Center for Research in Biomedical Sciences, Universidad Autonoma de Chile, Temuco, Chile.

出版信息

Int J Oral Sci. 2014 Sep;6(3):182-4. doi: 10.1038/ijos.2013.75. Epub 2013 Oct 18.

DOI:10.1038/ijos.2013.75

PMID:24136676

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4170146/

Abstract

The fibrous epulis, a common tumor-like lesion of the gingiva, appears in the interdental papilla as a result of local irritation. Lesions are asymptomatic and have a variable growth rate. A 75-year-old woman was referred for the evaluation of a large painless gingival mass. It had started 10 years back and has been increasing in size the last year. No bone involvement was noted. The tumor was totally removed by excision with surgical scalpel under local anesthesia without teeth extraction. The microscopic findings were suggestive of a fibrous epulis. Differential diagnosis, clinical considerations and factors to prevent recurrence are discussed.

摘要

纤维性牙龈瘤是牙龈常见的肿瘤样病变，因局部刺激出现在牙间乳头。病变通常无症状，生长速度不一。一名75岁女性因评估一个无痛性牙龈肿物前来就诊。该肿物始于10年前，去年开始增大。未发现骨质受累。在局部麻醉下，用手术刀完整切除肿瘤，未拔牙。显微镜检查结果提示为纤维性牙龈瘤。本文讨论了鉴别诊断、临床考虑因素及预防复发的因素。