International Journal of Clinical Case Reports 2015, Vol.5, No. 43, 1-4
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Figure 1 revealing frontal profile photograph of the patient
Figure 2 revealing the growth
Figure 3 revealing the origin of the lesion
on to the tongue. The growth was reddish in color. On
palpation, the growth was non-tender, firm in
consistency, did not blanch on pressure, and was
non-compressible and non-reducible. Based upon the
clinical examination, a provisional diagnosis of
Pyogenic granuloma was given and the list of clinical
differential diagnosis considered included Peripheral
fibroma, Peripheral ossifying fibroma, Peripheral
giant cell granuloma, Haemangioma, and Carcinoma
of gingiva. The investigatory work-up included
Complete Haemogram which was found to be within
normal limits. Mandibular Occlusal Radiograph
revealed a soft tissue shadow of the lesion along the
lingual aspect of the involved teeth (Figure 4) with
radiopaque foci distal to 37 (Figure 5). Excisional
biopsy was done under general anesthesia (Figure 6)
and the excised specimen (Figure 7) was sent for
histopathological examination which revealed parak-
eratinized stratified squamous epithelium with blunt
rete-ridges with fibrous connective tissue stroma with
irregular osteoid containing osteocytes and osteoblasts
(Figure 8). Based upon the clinical, radiological and
histopathological features, the final diagnosis was
given as Peripheral Ossifying Fibroma. The extraction
of 37 was carried-out to prevent recurrence and
post-treatment follow-up was done for 2 years although
no recurrence was reported.
Figure 4 revealing the mandibular occlusal radiograph revealing
the soft tissue shadow of the lesion
Figure 5 revealing the mandibular occlusal radiograph revealing
the soft tissue shadow of the lesion with radiopaque foci
Figure 6 revealing the lesion being surgically excised
