Peripheral granular cell odontogenic fibroma

Area of Science:

• Oral pathology
• Odontogenic tumors
• Gingival lesions

Background:

• Peripheral odontogenic fibroma is a rare gingival lesion.
• It can clinically mimic other oral pathologies, including reactive lesions, benign neoplasms, and metastases.
• Accurate diagnosis is crucial for appropriate management.

Observation:

• A symptomatic lesion on the mandibular gingiva of a 58-year-old female was analyzed.
• The patient had no history of trauma or prior dental disease in the affected area.
• Clinical presentation mimicked various other oral conditions.

Findings:

• Excisional biopsy revealed a peripheral granular cell odontogenic fibroma.
• The stroma contained numerous polyhedral granular cells.
• Interspersed islands of inactive odontogenic epithelium were noted.

Implications:

• This represents the fourth detailed case report of peripheral granular cell odontogenic fibroma in the literature.
• The findings contribute to understanding the histopathological spectrum of rare odontogenic tumors.
• Increased awareness may improve diagnostic accuracy for similar challenging gingival lesions.