Mucosa
Oral Fibroma
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Oral Fibroma
, Traumatic Oral Fibroma
Epidemiology
Most common oral
Soft Tissue Growth
Incidence
: 1.2% in adults
Pathophysiology
Hyperplastic fibrous lesion
Forms in response to local irritation or
Trauma
Symptoms
Asymptomatic
Signs
Appearance
Firm, broad-based, smooth-surfaced pink
Papule
s or
Nodule
s
Surf
ace color is similar to surrounding mucosa
May be pendunculated
Distribution
Occlusal
line on
Buccal mucosa
most common
Also occurs on
Tongue
,
Labial mucosa
,
Gingiva
Course
May heal as a dense,
Collagen
ous lesion
With repeat
Trauma
, lesion may ulcerate or become hyperkeratotic
Management
Surgical excision
Recurrence is rare following excision
Send for pathology to evaluate for neoplastic lesions in differential diagnosis
However,
Trauma
tic fibromas have no increased risk of malignant transformation
References
Randall (2022) Am Fam Physician 105(4): 369-76 [PubMed]
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