4.4 GIANT CELL (REPARATIVE) GRANULOMA
Usually occurs on the gums as a red epulis or intra bony lesion
of maxillary or mandibular bones because of a bleed in to the
marrow and is slow growing, reddish, smooth sessile tumour which
bleeds easily.
Histologically lesions show stratified squamous epithelium with
interspersed fibroblastic proliferation, multinucleated giant
cells and heamosiderin pigments, all these constitute diagnostic
microscopic criteria.
Treatment of this soft tissue lesion is by complete excision and
curreting
4.5 HEMANGIOMA
Capillary hemangioma are sometimes seen on the mucosa of the oral
cavity in infants and like hemangiomas elsewhere they regress
spontaneously.
* Rarely large vascular malformations will involve the entire
side of the mouth including the tongue; gingiva and buccal
mucosa.
Treatment is difficult expectant treatment in follow up they do regress with age
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