Fibroma

It is a benign soft tissue tumor found in the oral cavity. True

benign neoplasm of the fibrous tissue is relatively aninfrequent lesion. Most of these lesions
are infact
hyperplasia or reactive proliferation of fibrous tissue. It
develops due to chronic irritation

Age and sex distributionit can occur at any age but is

common in 3rd, 4th and 5th decades. There is no sex
predilection.
Siteoccurs on the gingiva, tongue, buccal mucosa and
palate.
Symptomsthey are usually painless, but if they are in a
position where they can be bitten or injured, there may
be pain and discomfort.
Appearanceit is most often sessile, dome shaped or
slightly pedunculated with smooth contour. The lesions
on lips and tongue present as circumscribed nodules.
Signstumor sometimes becomes irritated and inflamed
and may show superficial ulceration.
Surface and colorthe color of tumor is pink and surface
is smooth (Fig. 15-5). In some lesion may appear white
.due to continuous irritation (Fig. 15-6)

Sizetumor may be very small or in rare instances may

range up to several centimeters in diameter.
Consistencythe consistency can range from soft and
myxomatous to firm and elastic. According to the
consistency the tumor is termed as hard fibroma and

.soft fibroma

Diagnosis
Clinical diagnosissessile, firm on palpation with pink
color and smooth surface will go in favor of fibroma.
Laboratory diagnosisbiopsy shows bundles of interlacing
collagenous fibers interspersed with varying
number of fibroblasts or fibrocytes and small blood

.vessels

Management
Surgical excisionsit is treated by conservative surgical

.excision

Giant Cell Fibroma

Clinical Features
Occurs at a much younger age compared to fibroma and

presents as asymptomatic sessile/pedunculated nodule <1cm

Not associated with trauma

More than half the cases occurs on the gingiva and has a

papillary surface; Mandible>Maxilla

Similar to retrocuspid papilla

Treatment: Conservative surgical excision

Recurrence is rare

Histology
Vascular and loosely arranged

Hallmark is the presence oF

fibrous connective tissue

large, stellate shaped fibroblasts

which are multinucelated
Rete ridges are narrow and

elongated

Odontogenic Fibroma
This jaw tumor is considered a neoplasm that is derived
from periodontal ligament or pulp-related fibroblasts. It is
a tumor of adults and appears as a well-defined radiolucency
in either jaw. It is not, however, particularly aggressive,
and it infrequently recurs after simple curettage.
Histopathology
These lesions are more collagenous than myxomas but
may range from myxofibrous to densely fibrous. Characteristically
seen in odontogenic fibromas are few to many
islands and strands of bland odontogenic epithelium.
Calcific deposits may also be found. A variant (granular
cell odontogenic fibroma), in which granular cells are seen
in the connective tissue, has been described. The behavior
of this tumor does not appear to be different from odontogenic
fibroma. Abundant rest proliferation in follicular sacs
can occasionally simulate the appearance of odontogenic
fibroma or ameloblastic fibroma.
Clinicopathological correlation is important for the
diagnosis of these lesions

Treatment

.Ennucleation/excision or partial resection of the jaw bone

.