Tamiolakis P, Chatzopoulou E, Frakouli F, Tosios KI, Sklavounou-Andrikopoulou A. Localized gingival enlargements. A clinicopathological study of 1187 cases.
Med Oral Patol Oral Cir Bucal 2018;
23:e320-e325. [PMID:
29680847 PMCID:
PMC5945247 DOI:
10.4317/medoral.22263]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Indexed: 12/03/2022] Open
Abstract
Background
To describe the incidence, demographic and clinical features of 1187 localized gingival enlargements.
Material and Methods
1187 cases of localized gingival enlargements diagnosed during a 20-year period were retrospectively collected. The patients’ gender and age, as well as the main clinical features of the tumors were retrieved from the biopsy report forms.
Results
The 1187 localized gingival enlargements represented 6.23% of 19.044 biopsies performed during the study period. 756 females and 427 males were affected with a mean age of 41.92±19.68 years. The lesions appeared as smooth (52.4%), granular (17.9%) or rough (13.16%) tumors, elastic (50.73%) or soft (29.56%) in consistency and red (60.8%), normal (28.58%) or white (8.17%) in color. The majority of the lesions (85.17%) were reactive in origin with pyogenic granuloma being the most common. In 1.1% of the cases a diagnosis of malignant lesion was rendered.
Conclusions
All localized gingival enlargements should be submitted for microscopic examination because in approximately 1% of cases they are malignant.
Key words:Localized gingival enlargements, gingival mass, gingival lesions, gingival reactive lesions, gingival malignant lesions.
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