92- BENIGN TUMORS AND TUMOR-LIKE LESIONS OF THE ORAL CAVITY
CONDITION DESCRIPTION/ CLINICAL PRESENTATION HISTOPATH TREATMENT
Torus Tori of the palate: found only in the midline of the Symptomatic patient: removing them from the
hard palate Underlying cortex
Mandibular tori: found to involve only the lingual
surface of the anterior mandible, primarily in the
premolar region
Lingual thyroid Reflects the lack of descent of thyroid tissue during Symptomatic euthyroid patients: surgical
development excision
Found in the midline in the area of the foramen cecum Hypothyroid patients: thyroid replacement
therapy
Dermoid cysts Cystic masses found alongcembryonic fusion lines that Lined by squamous epithelium of Complete excision of the cyst to
form from epithelial rests the keratinizing variety + elements Include all epithelial components
of epidermal appendages
Enteric duplication Choristomas that contain elements of gastrointestinal Lined with stratified squamous and
cysts mucosa columnar epithelium
Fibroma Inflammatory and fibrous hyperplastic response to chronic Dense and minimally cellular Conservative excision
irritation or trauma fascicles of collagen fibers and
have a relatively avascular
appearance
Papilloma Most commonly associated with human Fibrovascular cores and Surgical excision or ablation with use of a co2 laser
papillomavirus-6 and -11 virus subtypes; demonstrate a relatively narrow
Single, asymptomatic, soft, pedunculated mass with base
numerous finger-like projections at the surface
Neurofibroma Most common of the peripheral nerve neoplasms Complete surgical excision
Lipoma Typically found in the buccal or lingual areas or in the Mature, encapsulated adipocytes Surgical excision
floor of the mouth that are typically clearly
demarcated from surrounding
tissues
Hemangioma Lip- most frequent site of hemangioma that involves the Intralesional sclerosing agents, interferons, laser
oral cavity; soft, painless mass that is red or blue treatment, local and systemic steroids, and radiation
Ameloblastoma Most common neoplasm of odontogenic origin Solid, infiltrating tumors with a En bloc resection with at least 1-cm margins of
Thought to arise from rests of primitive dental lamina follicular or plexiform pattern that normal-appearing tissue
related to the enamel organ in alveolar bone exhibit an element of cystic change
Pleomorphic Hard palate-most commonly occurring site of Complete surgical excision
adenoma pleomorphic adenoma in the oral cavity