Professional Documents
Culture Documents
23 Soft Tissue Tumors
23 Soft Tissue Tumors
Clinical Features
Reactive hyperplasia of fibrous connective tissue
Clinical Features
Occurs at a much younger age compared to fibroma and
presents as asymptomatic sessile/pedunculated nodule <1cm
More than half the cases occurs on the gingiva and has a
papillary surface; Mandible>Maxilla
The size varies from < 1 cm to large lesions involving the entire
length of the vestibule
Overlying epithelium is
hyperkeratotic and shows
hyperplasia of rete ridges
Pseudoepitheliomatous
hyperplasia
Histology
Papillary growths surfaced by
hyperplastic startified
squamous epithelium
Pseudoepitheliomatous
hyperplasia
Chronic inflammation
Fibrous Histiocytoma
Treatment:
Local surgical excision down to the underlying bone
Scaling of the adjacent teeth of any source of irritation
Rarely, lesions similar to this are seen in hyperparathyroidism
(however these are mostly intraosseous)
Peripheral Giant Cell Granuloma
Peripheral Ossifying Fibroma
Reactive growth of the gingiva with uncertain histogenesis
Treatment:
Local surgical excision down to the periosteum
Pyogenic Granuloma
Capillary Hemangioma
Cavernous Hemangioma
Most frequent site in the oral cavity - anterior 2/3 of the tongue
where it causes MACROGLOSSIA
Treatment
Intraoral: Excision and prognosis is good; recurrence does occur
Cystic: Well circumscribed and have lower recurrence rate
Fibrosarcoma
Malignant fibrous histiocytoma
Liposarcoma
Malignant peripheral nerve sheath tumor
Olfactory neuroblastoma
Kaposis sarcoma
Leiomyosarcoma
Rhabdomyosarcoma
Synovial sarcoma
Alveolar soft part sarcoma
Rhabdomyosarcoma
Malignant neoplasm of skeletal muscle origin
Intraoral: PALATE
3 Histologic Types
Embryonal, Alveolar and Pleomorphic