Naaz Sabiha, Ahad Abdul, Bey Afshan, Ansari Hena A
Department of Periodontics, Dr. Ziauddin Ahmad Dental College, Faculty of Medicine, Aligarh Muslim University, Aligarh, India.
Department of Pathology, Jawaharlal Nehru Medical College, Faculty of Medicine, Aligarh Muslim University, Aligarh, India.
Front Dent. 2021 Jan 22;18:3. doi: 10.18502/fid.v18i3.5433. eCollection 2021.
Giant cell fibroma (GCF) is a relatively rare lesion in the oral cavity. Despite having unique microscopic features, it can be easily misdiagnosed clinically as any common hyperplastic lesion. This report presents a case of a 21-year old male with a lesion involving the papilla between the mandibular central incisors. The lesion was excised completely under topical anesthesia using a 980 nm diode laser. On histopathological examination of the excised tissue, no thermal damage or any other alteration was observed, while the features were suggestive of GCF. Healing of the gingiva was uneventful and without any signs of recurrence. Apart from the widely known advantages of the diode laser, it also appears to maintain the integrity of biopsy specimens, if used with appropriate settings. This advantage may play a vital role in the biopsy of rare lesions where the diagnosis is entirely based on accurate histopathological examination.
巨细胞纤维瘤（GCF）是口腔中一种相对罕见的病变。尽管具有独特的微观特征，但临床上很容易被误诊为任何常见的增生性病变。本报告介绍了一例21岁男性病例，其病变累及下颌中切牙之间的乳头。在局部麻醉下使用980纳米二极管激光将病变完全切除。对切除组织进行组织病理学检查时，未观察到热损伤或任何其他改变，而其特征提示为巨细胞纤维瘤。牙龈愈合顺利，无任何复发迹象。除了二极管激光广为人知的优点外，如果使用适当的设置，它似乎还能保持活检标本的完整性。这一优点在罕见病变的活检中可能起着至关重要的作用，因为这些病变的诊断完全基于准确的组织病理学检查。
