Massive fibrous epulis—a case report of a 10-year-old lesion
Identifieur interne : 004A57 ( Ncbi/Merge ); précédent : 004A56; suivant : 004A58Massive fibrous epulis—a case report of a 10-year-old lesion
Auteurs : Gabriel M. Fonseca [Argentine] ; Ricardo M. Fonseca [Argentine] ; Mario Cantín [Chili]Source :
- International Journal of Oral Science [ 1674-2818 ] ; 2013.
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.
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DOI: 10.1038/ijos.2013.75
PubMed: 24136676
PubMed Central: 4170146
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Massive fibrous epulis—a case report of a 10-year-old lesion</title><author><name sortKey="Fonseca, Gabriel M" sort="Fonseca, Gabriel M" uniqKey="Fonseca G" first="Gabriel M" last="Fonseca">Gabriel M. Fonseca</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Oral Pathology, Faculty of Dentistry, National University of Cordoba</institution>, Cordoba,<country>Argentina</country></nlm:aff><country xml:lang="fr">Argentine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Fonseca, Ricardo M" sort="Fonseca, Ricardo M" uniqKey="Fonseca R" first="Ricardo M" last="Fonseca">Ricardo M. Fonseca</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Oral Pathology, Faculty of Dentistry, National University of Cordoba</institution>, Cordoba,<country>Argentina</country></nlm:aff><country xml:lang="fr">Argentine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Cantin, Mario" sort="Cantin, Mario" uniqKey="Cantin M" first="Mario" last="Cantín">Mario Cantín</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Doctoral Program in Morphological Sciences, Faculty of Dentistry, Universidad La Frontera</institution>, Temuco,<country>Chile</country></nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Center for Research in Biomedical Sciences, Universidad Autonoma de Chile</institution>, Temuco,<country>Chile</country></nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24136676</idno><idno type="pmc">4170146</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4170146</idno><idno type="RBID">PMC:4170146</idno><idno type="doi">10.1038/ijos.2013.75</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000012</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000012</idno><idno type="wicri:Area/Pmc/Curation">000012</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000012</idno><idno type="wicri:Area/Pmc/Checkpoint">001926</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001926</idno><idno type="wicri:Area/Ncbi/Merge">004A57</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Massive fibrous epulis—a case report of a 10-year-old lesion</title><author><name sortKey="Fonseca, Gabriel M" sort="Fonseca, Gabriel M" uniqKey="Fonseca G" first="Gabriel M" last="Fonseca">Gabriel M. Fonseca</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Oral Pathology, Faculty of Dentistry, National University of Cordoba</institution>, Cordoba,<country>Argentina</country></nlm:aff><country xml:lang="fr">Argentine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Fonseca, Ricardo M" sort="Fonseca, Ricardo M" uniqKey="Fonseca R" first="Ricardo M" last="Fonseca">Ricardo M. Fonseca</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Oral Pathology, Faculty of Dentistry, National University of Cordoba</institution>, Cordoba,<country>Argentina</country></nlm:aff><country xml:lang="fr">Argentine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Cantin, Mario" sort="Cantin, Mario" uniqKey="Cantin M" first="Mario" last="Cantín">Mario Cantín</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Doctoral Program in Morphological Sciences, Faculty of Dentistry, Universidad La Frontera</institution>, Temuco,<country>Chile</country></nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Center for Research in Biomedical Sciences, Universidad Autonoma de Chile</institution>, Temuco,<country>Chile</country></nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">International Journal of Oral Science</title><idno type="ISSN">1674-2818</idno><idno type="eISSN">2049-3169</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>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.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Pour, Ma" uniqKey="Pour M">MA Pour</name></author><author><name sortKey="Rad, M" uniqKey="Rad M">M Rad</name></author><author><name sortKey="Mojtahedi, A" uniqKey="Mojtahedi A">A Mojtahedi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ajagbe, Ha" uniqKey="Ajagbe H">HA Ajagbe</name></author><author><name sortKey="Daramola, Jo" uniqKey="Daramola J">JO Daramola</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tajima, H" uniqKey="Tajima H">H Tajima</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rajanikanth, Br" uniqKey="Rajanikanth B">BR Rajanikanth</name></author><author><name sortKey="Srinivas, M" uniqKey="Srinivas M">M Srinivas</name></author><author><name sortKey="Suragimath, G" uniqKey="Suragimath G">G Suragimath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liu, C" uniqKey="Liu C">C Liu</name></author><author><name sortKey="Qin, Zp" uniqKey="Qin Z">ZP Qin</name></author><author><name sortKey="Fan, Zn" uniqKey="Fan Z">ZN Fan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kfir, Y" uniqKey="Kfir Y">Y Kfir</name></author><author><name sortKey="Buchner, A" uniqKey="Buchner A">A Buchner</name></author><author><name sortKey="Hansen, Ls" uniqKey="Hansen L">LS Hansen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alam, Mn" uniqKey="Alam M">MN Alam</name></author><author><name sortKey="Chandrasekaran, Sc" uniqKey="Chandrasekaran S">SC Chandrasekaran</name></author><author><name sortKey="Valiathan, M" uniqKey="Valiathan M">M Valiathan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nomura, K" uniqKey="Nomura K">K Nomura</name></author><author><name sortKey="Hayashi, T" uniqKey="Hayashi T">T Hayashi</name></author><author><name sortKey="Kunibe, I" uniqKey="Kunibe I">I Kunibe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Halliday, H" uniqKey="Halliday H">H Halliday</name></author><author><name sortKey="Gordon, S" uniqKey="Gordon S">S Gordon</name></author><author><name sortKey="Bhola, M" uniqKey="Bhola M">M Bhola</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dabholkar, Jp" uniqKey="Dabholkar J">JP Dabholkar</name></author><author><name sortKey="Vora, Kr" uniqKey="Vora K">KR Vora</name></author><author><name sortKey="Sikdar, A" uniqKey="Sikdar A">A Sikdar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shimoyama, T" uniqKey="Shimoyama T">T Shimoyama</name></author><author><name sortKey="Horie, N" uniqKey="Horie N">N Horie</name></author><author><name sortKey="Ide, F" uniqKey="Ide F">F Ide</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Sousa, Sf" uniqKey="De Sousa S">SF de Sousa</name></author><author><name sortKey="Caldeira, Pc" uniqKey="Caldeira P">PC Caldeira</name></author><author><name sortKey="Grossmann Sde, M" uniqKey="Grossmann Sde M">M Grossmann Sde</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bhagalia, S" uniqKey="Bhagalia S">S Bhagalia</name></author><author><name sortKey="Jain, M" uniqKey="Jain M">M Jain</name></author><author><name sortKey="Pardhe, N" uniqKey="Pardhe N">N Pardhe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carbone, M" uniqKey="Carbone M">M Carbone</name></author><author><name sortKey="Broccoletti, R" uniqKey="Broccoletti R">R Broccoletti</name></author><author><name sortKey="Gambino, A" uniqKey="Gambino A">A Gambino</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Awange, Do" uniqKey="Awange D">DO Awange</name></author><author><name sortKey="Wakoli, Ka" uniqKey="Wakoli K">KA Wakoli</name></author><author><name sortKey="Onyango, Jf" uniqKey="Onyango J">JF Onyango</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tamarit Borras, M" uniqKey="Tamarit Borras M">M Tamarit-Borràs</name></author><author><name sortKey="Delgado Molina, E" uniqKey="Delgado Molina E">E Delgado-Molina</name></author><author><name sortKey="Berini Aytes, L" uniqKey="Berini Aytes L">L Berini-Aytés</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Canadian Institute For Health Information" uniqKey="Canadian Institute For Health Information">Canadian Institute for Health Information</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Oral Sci</journal-id><journal-id journal-id-type="iso-abbrev">Int J Oral Sci</journal-id><journal-title-group><journal-title>International Journal of Oral Science</journal-title></journal-title-group><issn pub-type="ppub">1674-2818</issn><issn pub-type="epub">2049-3169</issn><publisher><publisher-name>Nature Publishing Group</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24136676</article-id><article-id pub-id-type="pmc">4170146</article-id><article-id pub-id-type="pii">ijos201375</article-id><article-id pub-id-type="doi">10.1038/ijos.2013.75</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Massive fibrous epulis—a case report of a 10-year-old lesion</article-title><alt-title alt-title-type="running">A massive fibrous epulis</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Fonseca</surname><given-names>Gabriel M</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Fonseca</surname><given-names>Ricardo M</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Cantín</surname><given-names>Mario</given-names></name><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="aff" rid="aff3">3</xref></contrib><aff id="aff1"><label>1</label><institution>Department of Oral Pathology, Faculty of Dentistry, National University of Cordoba</institution>, Cordoba,<country>Argentina</country></aff><aff id="aff2"><label>2</label><institution>Doctoral Program in Morphological Sciences, Faculty of Dentistry, Universidad La Frontera</institution>, Temuco,<country>Chile</country></aff><aff id="aff3"><label>3</label><institution>Center for Research in Biomedical Sciences, Universidad Autonoma de Chile</institution>, Temuco,<country>Chile</country></aff></contrib-group><author-notes><corresp id="caf1"><label>*</label><institution>Department of Oral Pathology, Faculty of Dentistry, National University of Cordoba, Mariano Moreno 937</institution>, Cordoba X5000MRS, <country>Argentina</country>. E-mail: <email>gabriel_fonseca@argentina.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>09</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>18</day><month>10</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>9</month><year>2014</year></pub-date><volume>6</volume><issue>3</issue><fpage>182</fpage><lpage>184</lpage><history><date date-type="accepted"><day>13</day><month>08</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2013 West China School of Stomatology</copyright-statement><copyright-year>2013</copyright-year><copyright-holder>West China School of Stomatology</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><pmc-comment>author-paid</pmc-comment>
<license-p>This work is licensed under the Creative Commons Attribution-NonCommercial-No Derivative Works 3.0 Unported License. To view a copy of this license, visit <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/3.0/">http://creativecommons.org/licenses/by-nc-nd/3.0/</ext-link></license-p></license></permissions><abstract><p>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.</p></abstract><kwd-group><kwd>diagnosis</kwd><kwd>gingival diseases</kwd><kwd>oral pathology</kwd></kwd-group></article-meta></front><floats-group><fig id="fig1"><label>Figure 1</label><caption><p><bold>Clinic evaluation of the mass.</bold> (<bold>a</bold>) Lateral view. (<bold>b</bold>) Intraoral view. Note the peduncle swelling arising from the maxillary gingival in relation to the upper central incisors.</p></caption><graphic xlink:href="ijos201375f1"></graphic></fig><fig id="fig2"><label>Figure 2</label><caption><p><bold>Periapical radiography exhibiting no osseous or dental involvement.</bold></p></caption><graphic xlink:href="ijos201375f2"></graphic></fig><fig id="fig3"><label>Figure 3</label><caption><p><bold>Analysis of the surgical specimen.</bold> (<bold>a</bold>) A lobulated mass with hard consistence, covered by partially ulcerated mucosa. (<bold>b</bold>) The histopathology of the lesion revealed highly collagenous matrix with moderate lymphoplasmacytic presence and fat infiltration (hematoxylin–eosin staining, original magnification ×40).</p></caption><graphic xlink:href="ijos201375f3"></graphic></fig><fig id="fig4"><label>Figure 4</label><caption><p><bold>Picture of the patient 6 months postoperatively.</bold></p></caption><graphic xlink:href="ijos201375f4"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Argentine</li><li>Chili</li></country></list><tree><country name="Argentine"><noRegion><name sortKey="Fonseca, Gabriel M" sort="Fonseca, Gabriel M" uniqKey="Fonseca G" first="Gabriel M" last="Fonseca">Gabriel M. Fonseca</name></noRegion><name sortKey="Fonseca, Ricardo M" sort="Fonseca, Ricardo M" uniqKey="Fonseca R" first="Ricardo M" last="Fonseca">Ricardo M. Fonseca</name></country><country name="Chili"><noRegion><name sortKey="Cantin, Mario" sort="Cantin, Mario" uniqKey="Cantin M" first="Mario" last="Cantín">Mario Cantín</name></noRegion><name sortKey="Cantin, Mario" sort="Cantin, Mario" uniqKey="Cantin M" first="Mario" last="Cantín">Mario Cantín</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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