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2018, Number 4

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Rev Cubana Estomatol 2018; 55 (4)

Giant-cell fibroma removal with surgical laser

de Morais NLE, Gonçalves CSH, de Santana SDJ, dos Santos PJ, Gomes AG, Aparecida MS

Language: Portugués
References: 19
Page: 1-10
PDF size: 120.34 Kb.


ABSTRACT

Introduction: Giant-cell fibroma is a rare benign fibrous neoplasm of uncertain etiological factors and peculiar clinical-pathological characteristics.
Objective: To describe the excision of giant-cell fibroma in the right jugal mucosa using surgical laser.
Case report: A 33-year-old female patient, treated at the dental clinic of State University of Paraíba, due to neoplastic lesion, with slow growth in the region of the right jugal mucosa. Clinically, a single, asymptomatic tumor mass of approximately two centimeters, sessile, normocorated, with a firm consistency and a smooth surface was observed. After clinical examination, an excisional biopsy was performed for diagnostic purposes, using the surgical laser. The diagnosis, after the histopathological examination, revealed a giant-cell fibroma. The management of the excisional biopsy, in addition to having the purpose of oral diagnosis, was responsible for the treatment of the lesion, since it provided its complete removal. Second healing intention was chosen and, in order to accelerate this process, a local application with low-power red-light spectrum laser was carried out. At 7-day follow-up, adequate healing was observed, with minimal tissue change. After eight months, adequate tissue regeneration was observed without relapsed lesion.
Conclusions: Removal of a giant-cell fibroma using high-power diode laser was shown to be a viable therapeutic approach for the treatment of this pathology.


REFERENCES

  1. Amaral MBF, Ávila JMS, Abreu MHG, Mesquita RA. Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: a randomized clinical trial. Int J Oral Maxillofac Surg. 2015;44(1):1383-9.

  2. Bagheri F, Rahmani S, Azimi S, Bigom Taheri J. Giant Cell Fibroma of the Buccal Mucosa with Laser Excision: Report of Unusual Case. Iran J Pathol. 2015;10(4):314-7.

  3. Bakhtiari S, Taheri JB, Sehhatpour M, Asnaashari M, Moghadam SA. Removal of an Extra-large Irritation Fibroma With a Combination of Diode Laser and Scalpel. J Lasers Med Sci. 2015;6(4):182-4.

  4. Barboza CAG, Alves LB, Ginani F, Figueiredo CRLV. Gingival giant cell fibroma of unusual size. Rev Cubana Estomatol. 2016;53(2):62-6.

  5. Campos V, Silva AL, Silva DR. A formação do povo brasileiro e o reconhecimento efetivo da diversidade: Cultura, educação e ações afirmativas em prol de uma sociedade reflexiva. Revista Magistro. 2017;1(15):383-97.

  6. Cury SE, Silva B, Cury MD, Galhardo R, Araújo J, Molina O. Giant-cell Fibroma: case report. Webmedcentral. 2014;5(9):1-5.

  7. Fontes GA, Mello-Moura ACV, Calvo AF, Tedesco TK, Floriano I, Gimenez T,et al. Remoção de mucocele com laser diodo: relato de caso clínico em paciente infantil. Rev Assoc Paul Cir Dent. 2016;70(3):330-2.

  8. Góngora I, Molina K, Romero M, Paredes E. Pediatric dental management fibroma giant cell: case report. Kiru. 2016;13(2):167-70.

  9. Kalburgi V, Jain S, Raghuwanshi S. Surgical diode laser excision for cellular fibroma. Journal of Dental Lasers. 2016;10(1):28-31.

  10. Mathur E, Sareen M, Dhaka P, Baghla P. Diode Laser Excision of Oral Benign Lesions. J Lasers Med Sci. 2015;6(3):129-32.

  11. Mello -Moura AC, Santos AM, Bonini GA,Del Conte Zardetto CG, Moura-Netto C,Wanderley MT. Giant Cell Fibroma in a Two-Year-Old Child. Case Rep Dent 2016; 2016;7058356.

  12. Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia Oral e Maxilofacial. 3ra ed. Rio de Janeiro: Elsevier; 2009.

  13. Schmidt MJ, Tschoeke A, Noronha L, Moraes RS, Mesquita RA, Grégio AMT, et al. Histochemical analysis of collagen fibers in giant cell fibroma and inflammatory fibrous hyperplasia. Acta Histochem. 2016;118(5):451-6.

  14. Shah A, Anjum A, Shah M, Doshi Y, Parkarwar PC, Bajaj M, et al. A case report on irritational fibroma excision by laser. J Pharm Pharm Sci. 2017;6(4):2082-9.

  15. Sonalika WG, Sahu A, Deogade SC, Gupta P, Naitam D, Chansoria H, et al. Giant cell fibroma of tongue: understanding the nature of an unusual histopathological entity. Case Rep Dent. 2014;2014;864512.

  16. Sotoode SM, Azimi S, Taheri AS, Asnaashari M, Khalighi H, Rahmani S, et al. Diode laser in minor oral surgery: a case series of laser removal of different benign exophytic lesions. J Lasers Med Sci. 2015;6(3):133-8.

  17. Scully C, Dios PD, Taylor AM, Almeida OP. Oral medicine and pathology at a glance. Hoboken, Nova Jersey: Blackwell Publishing Ltd; 2010.

  18. Truschnegg A, Acham S, Kqiku L, Jakse N, Beham A. Minimally Invasive Excision of Epulides with a CO2 Laser: A Retrospective Study of 90 Patients. Photomed Laser Surg. 2017 Sep;35(9):472-8. doi: 10.1089/pho.2016.4192.

  19. Weathers DR, Callihan MD. Giant-cell fibroma. Oral Surg Oral Med Oral Pathol. 1974;37(3):374-84.




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