TITLE:
A Case of Huge Fibroma in the Palate
AUTHORS:
Sayaka Yoshiba, Koki Takamatsu, Shinsuke Nakamura, Junichiro Chikuda, Naoko Kawachi, Tatsuo Shirota
KEYWORDS:
Huge Fibroma, Immunohistological Examination
JOURNAL NAME:
Open Journal of Clinical Diagnostics,
Vol.8 No.4,
December
25,
2018
ABSTRACT: Fibroma-like lesions occur with relatively high
frequency in oral soft tissues, but represent reactive proliferation against
chronic irritation. True fibromas are rare. Tumor size is often seen to range
from the mass of a red bean to a soybean. We encountered a case of huge fibroma
in the palate with a long history of more than 30 years. The patient was a
60-year-old man who became aware of a tumor in the right palate about 30 years
earlier. The mass had tended to increase in size in recent years, and was
introduced to our department for the first visit. As an intraoral finding, a
pedicled mass measuring 29 × 27 mm was found in the right palate. We also
considered the possibility of verrucous carcinoma, and performed biopsy,
obtaining a diagnosis of fibroma. Right palatectomy was performed under general
anesthesia in October 2016. We performed immunohistochemical examination of the
surgical specimen, obtaining a definitive diagnosis of fibroma. As of 1 year
postoperatively, no recurrence has been identified and the course has been
good.