Benign oral soft tissue tumors

Pedunculated mass
Sessile mass
Squamous cell papilloma
A benign lesion that arises from stratified
squamous epithelium of the oral cavity

Aetiology: caused by infection with HPV

Squamous cell papilloma
Squamous cell papilloma
Squamous cell papilloma
Squamous cell papilloma
 Diagnosis
 It should be distinguished from
papillary carcinoma or VV

Treatment
 May regress spontaneously
 Surgical removal
 Verruca vulgaris
(common wart)
It is one of the most recognisable skin papillomas

Aetiology: caused by infection with HPV

Verruca vulgaris
Verruca vulgaris
Verruca vulgaris
Squamous cell papilloma associated with verruca vulgaris
Squamous cell papillomas
Squamous cell papillomas
Squamous cell papillomas
Oral papillomas associated with condyloma acumenatum
Diagnosis - clinical

Treatment
 Topical salicylic acid
 Pulse dye laser or CO2 laser
 May recur
 Pyogenic granuloma
It is a lobular capillary haemangioma

Aetiology
 Unknown
 Local irritation (rough restorations,
prostheses, teeth, or calculus)
Pyogenic granuloma
Pyogenic granuloma
Pyogenic granuloma
Pyogenic granuloma
Pyogenic granuloma
Pyogenic granuloma
Diagnosis
 Excisional biopsy

Treatment
 Surgery
 Remove source of irritation
 Pregnancy tumor?
Peripheral giant cell granuloma
It is a site-specific variant of pyogenic granuloma

Aetiology
 Unknown
 Local irritation (plaque or calculus, periodontal
disease, restorations, ill-fitting appliances, or dental
extractions)
 Associated with dental implants
Peripheral giant cell granuloma
Peripheral giant cell granuloma
Peripheral giant cell granuloma
Diagnosis
 Excisional biopsy

Treatment
 Surgery and curettage
 Scaling and root planning
 10% recurrence rate
 May be brown tumors
 Lipoma
It is a relatively common benign
tumor composed of adipose tissue

Aetiology: developmental anomaly

Lipoma
Diagnosis
 Fine needle aspiration biopsy,
incisional or excisional biopsy

Treatment
 Surgical removal
 MRI
 Epulis fissuratum
(Denture induced fibrous hyperplasia)

An overgrowth of fibrous connective tissue

Aetiology: alveolar ridge resorption due to

chronic irritation from ill fitting denture
Epulis fissuratum
Epulis fissuratum
Diagnosis
 Surgical excision

Treatment
 Surgery
 Laser therapy
 Either make a new denture or reline
the old one to prevent recurrence
 Oral fibroma
(Fibroepithelial polyp)

Aetiology: minor trauma following accidental biting

Oral fibroma
Oral fibroma
Oral fibroma
Oral fibroma
Oral fibroma
Diagnosis - excisional biopsy

Treatment - surgery
 Neurofibroma

A benign nerve sheath tumor in the peripheral

nervous system

Aetiology
 Neurofibroma - developmental anomaly
 Neurofibromatosis - genetically inherited
Neurofibroma
Neurofibromatosis
Neurofibromatosis
Neurofibromatosis
Café-au-lait spots
Diagnosis
 Neurofibroma- surgical excision
 Neurofibromatosis- cytogenetic testing

Treatment
 Neurofibroma- surgery
 Neurofibromatosis- only large lesions
 Oral traumatic neuroma
(Pseudoneuroma)
It is a rare lesion

Aetiology: nerve injury due to trauma

during a surgical procedure
Oral traumatic neuroma
Diagnosis - excisional removal

Treatment - surgery
Hereditary haemorrhagic telangectasia
(Osler-Weber-Rendu disease or syndrome)

It is a rare genetic disorder

Aetiology: autosomal dominant

Hereditary haemorrhagic telangectasia
Hereditary haemorrhagic telangectasia
Hereditary haemorrhagic telangectasia
Diagnosis – clinical

Treatment
 No treatment
 Iron supplements or blood transfusion
 Haemangioma
Haema (blood), angio (vessel), -Oma (tumor)

It describes tumor-like structure whether present

at birth or later in life

Aetiology: unknown
Capillary haemangioma
Capillary haemangioma
Capillary haemangioma
Capillary haemangioma
Capillary haemangioma
Capillary haemangioma
Cavernous haemangioma
Cavernous haemangioma
Cavernous haemangioma
Cavernous haemangioma
Cavernous haemangioma
Cavernous haemangioma
Large lingual cavernous haemangioma
Diagnosis
 Clinical
 Blanching test
 Aspiration if deep
 MRI

Treatment
 Infantile- lidocaine + bleomycin A5 +
prednisolone
 Flat- pulse dye laser
 Lymphangioma
A rare malformation of the lymphatic system

Aetiology
 Congenital lymphangiomas
 Acquired lymphangiomas
Lymphangioma
Lymphangioma
Lymphangioma

Lymphangioma
Diagnosis
 Clinical
 Prenatal cases- amniocentesis
 MRI

Treatment
 Complete surgical excision