Tumour-like lesions of oral cavity: A clinicopathological study of 95 cases
Keywords:
Oral cavity, pyogenic granuloma, Reactive lesion, Tumourlike lesion,
Abstract
Background: Tumourlike lesions or reactive lesions of the oral cavity are group of fibroconnective tissue lesions that commonly occur in the oral mucosa as a result of injury. Aim: The purpose of this study is to determine the relative prevalence of different histopathological aspects of oral soft tissue tumourlike lesions which were received at Pathology department, Government medical college, Miraj, MaharashtraMethods: A total number of 95 cases of tumourlike lesions were included in the study. Specimens were received at department of pathology, Government medical college, Miraj, Maharashtra over a period of 5 years from August 2008 to July 2013. It was one year retrospective and four years prospective, cross sectional studyResult: A total number of 642 oral biopsies and excised specimens were studied, out of which 95cases (14.8%) belonged to tumourlike lesions. Among tumorlike lesions, pyogenic granuloma (47.38%) was the commonest lesion, followed by Mucocele (26.32%). Majority of tumorlike lesions were located on gingiva (38.94%) followed by lower lip (28.42%). Males (57.89%) were more commonly affected than females and the commonest symptom was swelling (100%).Conclusion: The most common tumourlike lesion in our study was pyogenic granuloma. Few very rare and interesting cases like plasma cell granuloma and Nasolabial cyst were also seen. Tumorlike lesions presented mainly as nodule or swelling, which should be differentiated from other benign and sometimes malignant lesions, as the tumourlike lesions have good prognosis when compared to malignant lesions. Hence histopathology remains the mainstay for correct diagnosis and treatment. DOI: 10.21276/AABS.1426References
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15) Tiago RS, Maia MS, Nacimento GM, Correa JP, Salgado DC. Nasolabial cyst: diagnostic and therapeutical aspects. Rev Bras Otorhinolaringol. 2008; 74(1):39-43.
16) Sabrinath B, Sivaramakrishnan M, Sivapathasundharam B. Giant cell fibroma: A clinicopathological study. J oral maxillofac Pathol. 2012; 16(3): 359-62.
17) Ajagbe HA, Daramola JO. Fibrous epulis: Experience in clinical presentation and treatment of 39 cases.
18) Buchner A, Calderon S, Ramon Y. Localized hyperplastic lesions of the Gingiva: a clinicopathological study of 302 lesions. J Periodontol. 1997 Feb; 48(2):101-04.
19) Kfir Y, Buchner A, Hansen LS. Reactive lesions of the Gingiva. A clinicopathological study of 741 cases. J Periodontol. 1980 Nov; 51(11):655-61.
2) Hassawi BA, Ali E, Subhe N. Tumors and tumor like lesions of the oral cavity. A study of 303 cases. Tikrit medical journal.2010:16(1):177-83.
3) P.N.Wahi. Histological typing of oral and oropharyngeal tumours. Issue 4 of international histological classification of tumours. World health organisation. 1971.
4) Kasyap B, Reddy S, Nalini P. Reactive lesions of oral cavity: A survey of 100 cases in Eluru, West Godavari district. Contemporary clinical dentistry. 2012; 3(3): 294-97.
5) Akyol MU, Yalciner EG, Dogan AI. Pyogenic granuloma (lobular capillary hemangioma) of the tongue. Int J Pediatr Otorhinolaryngol.2001; 58: 239-41.
6) Jafarzadeh H, Sanatkhani M, Mohtasham N. Oral pyogenic granuloma: a review. J oral sci. 2006 Dec; 48(4): 167-75.
7) Oliveira DT, Consolaro A, Freitas FJ. Histopathological spectrum of 112 cases of mucocele. Braz Dent J. 1993; 4(1):29-36.
8) Ackerman L.V. and Rosai. J Oral cavity and oral pharynx. A textbook of surgical pathology. 9th ed. Mosby St Louis: 1996.p-247.
9) Shek AW, Wu PC, Samman N. Inflammatory pseudotumour of the mouth and maxilla. J clin pathol. 1996; 49(2): 164-7.
10) Coffin CM, Fletcher JA, Fletcher C.D.M. , Unni KK, Mertens F(Ed): World health organisation classification of tumours. Pathology and genetics of tumours of soft tissue and bone. IARC Press: Lyon; 2002.p91-3.
11) Kim SS, Eom D, Huh J, Sung I, Choi I, Sung HR et al. Plasma cell granulomas in cyclosporine induced gingival growth; A report of two cases with immunohistochemal positivity of interleukin-6 and phospholipase C-g. J Korean med sci. 2002; 17: 704-7.
12) Pereira Filho VA, Silva AC, Moraes M, Moreira RW,Villalba H. Nasolabial cyst: Case report. Braz Dent J. 2002; 13(3):212-4.
13) Nasolabial cyst by Dr T. Balasubramanian [internet][Cited on 2014 Oct 20] Available at: http://www.drtbalu.co.in/naso cyst.html.
14) Lopez-Rios F, Lassaletta- Atienza L, Domingo- Carrasco C, Martinez- Tello FJ. Nasolabial cyst: report of a case with extensive apocrine change. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997 Oct; 84(4); 404-6.
15) Tiago RS, Maia MS, Nacimento GM, Correa JP, Salgado DC. Nasolabial cyst: diagnostic and therapeutical aspects. Rev Bras Otorhinolaringol. 2008; 74(1):39-43.
16) Sabrinath B, Sivaramakrishnan M, Sivapathasundharam B. Giant cell fibroma: A clinicopathological study. J oral maxillofac Pathol. 2012; 16(3): 359-62.
17) Ajagbe HA, Daramola JO. Fibrous epulis: Experience in clinical presentation and treatment of 39 cases.
18) Buchner A, Calderon S, Ramon Y. Localized hyperplastic lesions of the Gingiva: a clinicopathological study of 302 lesions. J Periodontol. 1997 Feb; 48(2):101-04.
19) Kfir Y, Buchner A, Hansen LS. Reactive lesions of the Gingiva. A clinicopathological study of 741 cases. J Periodontol. 1980 Nov; 51(11):655-61.
Published
2017-04-10
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