Large irritation fibroma of hard palate: a case report of a rare clinical entity

Abstract

Fibromas are benign tumors of connective tissue common in the oral cavity but rare on hard palate. This paper reports on an asymptomatic, slowly growing mass on the hard palate of a 90-year-old lady, with a reported use of denture for two decades. The patient presented with a 2.2cm, smooth-surfaced, well-circumscribed nodule attached with a stalk to the palatal mucosa. After excision, the histopathological examination revealed a mass of fibrous connective tissue, covered by stratified squamous epithelium with focal low-medium grade hyperplasia and hyperkeratosis. These findings were consistent with irritation fibroma of hard palate, a rare entity, which should be considered as a possible diagnosis for tumors of the area by every physician.

Diffuse Large B Cell Lymphoma of the Maxilla. A Rare Case Report Emphasizing Differential Diagnosis of Maxillary Involvement

“…Fibroma of the palate typically is asymptomatic slow growing sessile or pedunculated swelling commonly on gingiva associated with local irritation or history of trauma. In our presented case showing painful diffuse swelling without a history of trauma [12].…”

Traumatic gingival fibroma of anterior maxilla: A case report

“…Palate is rarely seen to be involved because of less chances of trauma/ irritation. 2 This lesion does not have a risk for malignancy. 7…”

“…1 The benign tumors of the fibrous connective tissue are called fibromas. 2 They were first reported in 1846. 3 A review of benign oral soft tissue tumors and bony prominences in white Americans older than 35 years old identified irritation fibromas as the 2 nd most common benign oral lesion (12.0/1000).…”

A Large Irritation Fibroma of the Hard Palate: A Rare Clinical Entity

“…Rather than being a true tumor, it is a localized hyperplasia of fibrous connective tissue brought on by persistent irritation or trauma. Irritative fibroma is believed to have a complex etiology that includes chronic mechanical stress because of the presence of sharp teeth, abrasive foods, or poorly fitted dentures [1].…”