1Assistant Professor, Department of Oral & Maxillofacial Surgery, School of Dental Science and Hospital, Krishna Institute of Medical Sciences, Karad
2Assistant Professor, Department of Conservative Dentistry & Endodontics, NIMS Dental College &Hospital, Jaipur, Rajasthan, (India)
3Lecturer, Department of Oral and Maxillofacial Surgery, Dr. G. D. Pol Foundation's, YMT Dental College and Hospital, Kharghar, Navi Mumbai, Maharashtra, India
4Reader, Department of Orthodontics, NIMS Dental College &Hospital, Jaipur, Rajasthan, India
*Corresponding author: Dr. Prashant A Punde Assistant Professor, Department Of Oral & Maxillofacial Surgery, School Of Dental Science And Hospital, Krishna Institute Of Medical Sciences, Karad-415110. Maharashtra, India. Mob. +91-8806149845. Email Id.: pprashanta1@gmail.com
Online published on 15 February, 2017.
Plasma cell granuloma is a non-neoplastic lesion very uncommonly seen in the maxillofacial region. Its etiology, biological behaviour, ideal treatment and prognosis are still unclear and rather controversial. This article presents a rare case of gingival plasma cell granuloma.
A rare case of this lesion affecting the gingiva is presented here, which could easily have been mistaken for a pyogenic granuloma, a peripheral giant cell reparative granuloma or a fibrous gingival epulis, had it not been for a histological study conducted on this lesion. The lesion presented in a middle aged female patient as a fibrous firm mass on attached gingiva in relation to maxillary posterior teeth. Histopathological examination of the excised specimen revealed a proliferation of inflammatory cells, among which there was a typical predominance of plasma cells with the typical cartwheel shaped nuclei, set in a fibrovascular connective tissue. Case was followed up for 3 years without any recurrence.
In the current case, the family experienced distress related to the suggestion of squamous cell carcinoma before referral for treatment and definitive diagnosis. This was a benign condition. Treatment consists of surgical excision, including the periosteum, and scaling of adjacent teeth. Close postoperative follow-up is required because of the growth potential of incompletely removed lesions and the 8%-20% recurrence rate. Improper suggestions to patient without exact diagnosis should be avoided in order to eliminate unnecessary emotional distress to patient.
Plasma cell Granuloma, plasma cells, surgical excision
