fibroma- benign tumors
TRANSCRIPT
![Page 1: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/1.jpg)
![Page 2: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/2.jpg)
Fibroma
Mesenchymal Odontogenic
tumors • Benign mesenchymal tumor
(Benign tumor of fibrous connective tissue)
• The most common benign soft tissue neoplasm in the oral cavity
Peripheral
Central
![Page 3: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/3.jpg)
Clinically•Well defined
•Normal color of oral mucosa or slightly paler•Sessile or pedunculated •Smooth , non ulcerated surface unless traumatized
![Page 4: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/4.jpg)
TONGUE Gingiva
Buccal mucosa Palate
SITE
![Page 5: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/5.jpg)
Soft or firm in consistency depending on its cellular or fibrous contents
firm soft
![Page 6: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/6.jpg)
HISTOPATHOLOGY stretched St.sq.epitheliumflattening of the rete pegs
![Page 7: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/7.jpg)
HISTOLOGIC APPEARANCE OF FIBROMA
![Page 8: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/8.jpg)
THE SURFACE OF THE LESION IS COVERED BY A LAYER OF STRATIFIED SQUAMOUS EPITHELIUM WHICH FREQUENTLY APPEARS STRETCHED AND SHOWS FLATTENING OF THE RETE PEGS.
Hyperplastic fibrous C.T
stretched St.sq.epitheliumflattening of the rete pegs
![Page 9: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/9.jpg)
AREAS OF CALCIFICATION OR EVEN OSSIFICATION MAY BE DETECTED IN SOME FIBROMAS ESPECIALLY THOSE OF GINGIVA AND HARD PALATE
![Page 10: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/10.jpg)
• WHEN THE LESION IS TRAUMATIZED OR IRRITATED
Inflammatory cells,
vasodilatation and inflammatory
edema • MAY DEVELOP FROM PYOGENIC GRANULOMA
•PRESENCE OF FIBROMAS AFFECTS NORMAL FUNCTIONING AND ESTHETICS MAY CAUSE SOCIAL AND EMOTIONAL PROBLEMS
![Page 11: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/11.jpg)
•Conservative surgical excision •Recurrence is rare
Treatment
![Page 12: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/12.jpg)
Surgical removal
![Page 13: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/13.jpg)
Case
![Page 14: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/14.jpg)
A 40 years old female complain of painless slowly growing mass in the left side of hard palate in 4,5 region since 2years
No history of any traumatic injury, pain or pus drainage
Size : 0.5 x 0.5 cm. On palpation : slightly pedunculated – non tender – didn’t blanch on pressure –rubbery in consistency
Intraoral examination
![Page 15: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/15.jpg)
Radiographic Examination
Upper left 4,5
Mild horizontal bone loss with canine, first and second premolars. No root resorption or tooth displacement. Bone around the outer limit of the lesion is normal
![Page 16: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/16.jpg)
Other investigations
•Hemoglobin •Total WBCS count•Clotting time
Normal
Aspiration wasn’t done bec. It is solid
![Page 17: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/17.jpg)
Phase-1 therapyNon surgical treatment
Complete stoppage of tobacco chewing. Keep good oral hygiene
![Page 18: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/18.jpg)
Operative procedureExcision of the lesion under L.A with adrenalinMedications were prescribedPatient recall for evaluation
Fig.5: Excised tissue
![Page 19: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/19.jpg)
RecallHealing was
found to be uneventfulPatient is still under follow-up
Recall after 15 days
![Page 20: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/20.jpg)
Histopathological Examination stratified squamous epithelium .
bundles of collagen fibers and fibroblasts
Blood vessels
![Page 21: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/21.jpg)
![Page 22: Fibroma- benign tumors](https://reader036.vdocuments.us/reader036/viewer/2022062223/58ecdb651a28abdc698b475f/html5/thumbnails/22.jpg)