Giant Cell Fibroma of the Tongue: A Rare Entity

Giant cell fibroma is a rare entity classified as a benign tumour of the oral cavity, accounting for 2% to 5% of all oral benign fibrous growths. It can occur at various sites in the oral cavity, such as the tongue, palate, lip, and buccal mucosa, with the gingiva being the most common site. As th...

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Main Authors: Darshan shriprasad Wable, Sanjay satappa Byakodi, Neha Prakash More, Amit Ashok Basannavar
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2023-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/18562/66044_CE[Ra1]_F(SS)_QC(KK_RDW_IS)_PF1(VD_KM_OM)_PN(KM).pdf
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author Darshan shriprasad Wable
Sanjay satappa Byakodi
Neha Prakash More
Amit Ashok Basannavar
author_facet Darshan shriprasad Wable
Sanjay satappa Byakodi
Neha Prakash More
Amit Ashok Basannavar
author_sort Darshan shriprasad Wable
collection DOAJ
description Giant cell fibroma is a rare entity classified as a benign tumour of the oral cavity, accounting for 2% to 5% of all oral benign fibrous growths. It can occur at various sites in the oral cavity, such as the tongue, palate, lip, and buccal mucosa, with the gingiva being the most common site. As the growth is self-limiting, it has been concluded that its recurrence is negligible. The aetiology of the growth has not been clearly known, but the fibrous proliferation suggests that chronic irritation or trauma to the tissue can give rise to such lesions. The growth is generally described as a dome-shaped nodule, either sessile or pedunculated, with an average diameter of 1cm. Usually, the lesion is asymptomatic unless it becomes secondarily infected. The present article presents the diagnosis and surgical management of a giant cell fibroma localised to the lateral border of the left-side of the tongue, corresponding to the occlusal surface of the molar teeth. Hereby, the author presents a case of a 58-year-old-male patient reported to the Department of Oral and Maxillofacial Surgery (OMFS) with a chief complaint of a growth on the left lateral border of the anterior region of the tongue for 2 to 3 years. On intraoral clinical examination, a dome-shaped, pedunculated mass measuring 1cm in diameter was observed. The lesion was asymptomatic and self-limiting. A provisional diagnosis of irritational fibroma was made. After a thorough history taking and clinical examination, surgical excision through an intraoral approach under local anaesthesia was performed to remove the lesion. The histopathological reports confirmed the diagnosis as giant cell fibroma. Rigorous clinical and histopathological examination has proven to be significant in making a precise diagnosis and planning accurate treatment for the uneventful elimination of lesions like giant cell fibroma. It is also essential to differentiate it from other pathologies to prevent complications.
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spelling doaj.art-d509843b52e2422481b183441e537d132023-10-26T10:40:37ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-10-011710111310.7860/JCDR/2023/66044.18562Giant Cell Fibroma of the Tongue: A Rare EntityDarshan shriprasad Wable0Sanjay satappa Byakodi1Neha Prakash More2Amit Ashok Basannavar3Postgraduate Student, Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Deemed to be University, Sangli, Maharashtra, India.Professor, Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Deemed to be University, Sangli, Maharashtra, India.Intern, Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Deemed to be University, Sangli, Maharashtra, India.Associate Professor, Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Deemed to be University, Sangli, Maharashtra, India.Giant cell fibroma is a rare entity classified as a benign tumour of the oral cavity, accounting for 2% to 5% of all oral benign fibrous growths. It can occur at various sites in the oral cavity, such as the tongue, palate, lip, and buccal mucosa, with the gingiva being the most common site. As the growth is self-limiting, it has been concluded that its recurrence is negligible. The aetiology of the growth has not been clearly known, but the fibrous proliferation suggests that chronic irritation or trauma to the tissue can give rise to such lesions. The growth is generally described as a dome-shaped nodule, either sessile or pedunculated, with an average diameter of 1cm. Usually, the lesion is asymptomatic unless it becomes secondarily infected. The present article presents the diagnosis and surgical management of a giant cell fibroma localised to the lateral border of the left-side of the tongue, corresponding to the occlusal surface of the molar teeth. Hereby, the author presents a case of a 58-year-old-male patient reported to the Department of Oral and Maxillofacial Surgery (OMFS) with a chief complaint of a growth on the left lateral border of the anterior region of the tongue for 2 to 3 years. On intraoral clinical examination, a dome-shaped, pedunculated mass measuring 1cm in diameter was observed. The lesion was asymptomatic and self-limiting. A provisional diagnosis of irritational fibroma was made. After a thorough history taking and clinical examination, surgical excision through an intraoral approach under local anaesthesia was performed to remove the lesion. The histopathological reports confirmed the diagnosis as giant cell fibroma. Rigorous clinical and histopathological examination has proven to be significant in making a precise diagnosis and planning accurate treatment for the uneventful elimination of lesions like giant cell fibroma. It is also essential to differentiate it from other pathologies to prevent complications.https://www.jcdr.net/articles/PDF/18562/66044_CE[Ra1]_F(SS)_QC(KK_RDW_IS)_PF1(VD_KM_OM)_PN(KM).pdfexcisionirritational fibromapedunculatedself-limiting
spellingShingle Darshan shriprasad Wable
Sanjay satappa Byakodi
Neha Prakash More
Amit Ashok Basannavar
Giant Cell Fibroma of the Tongue: A Rare Entity
Journal of Clinical and Diagnostic Research
excision
irritational fibroma
pedunculated
self-limiting
title Giant Cell Fibroma of the Tongue: A Rare Entity
title_full Giant Cell Fibroma of the Tongue: A Rare Entity
title_fullStr Giant Cell Fibroma of the Tongue: A Rare Entity
title_full_unstemmed Giant Cell Fibroma of the Tongue: A Rare Entity
title_short Giant Cell Fibroma of the Tongue: A Rare Entity
title_sort giant cell fibroma of the tongue a rare entity
topic excision
irritational fibroma
pedunculated
self-limiting
url https://www.jcdr.net/articles/PDF/18562/66044_CE[Ra1]_F(SS)_QC(KK_RDW_IS)_PF1(VD_KM_OM)_PN(KM).pdf
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