Forum for Clinical and Surgical Oral Pathology

Case BBOPF 03-6

The following case was contributed by Harvey P. Kessler (Dept of Diagnostic Sciences, Baylor College of Dentistry). Dr. Kessler is requesting your comments for the ensuing case. Please send your diagnosis/suggestions in the window located below the following images. This case will be posted from July 31 to August 14, 2003. A summary of the responses will be posted in BBOP.

Clinical History

Eight-year-old Hispanic female with a lesion of unknown duration on the attached gingiva of #23 area. The provisional clinical diagnosis was fibroma. The lesion was firm to palpation, normal in color and with a mild cobblestone surface. It was limited to soft tissue, no underlying bone involvement noted by the surgeon. No radiographs were sent with the specimen and no clinical photos were taken.

Sixteen photomicrographs are shown below to illustrate the entire specimen including high magnifications of pertinent areas.

Dr. Kessler is interested to see what is your diagnosis since this case does not seems to fit very well into any specific category.

Images

01 scanning power entire specimen	02 2x view of larger half
03 5x view of larger half	04 10x view of larger half
05 20x view of larger half	06 20x view of larger half different field
07 10x view larger half another field	08 2x view of small half
09 5x view of smaller half	10 10x view of smaller half
11 20x view of smaller half	12 10x view of smaller half different field
13 20x view of smaller half different field	14 10x view smaller half another field
15 20x view smaller half another field	16 20x view smaller half still another field

Case prepared by Dr. Alfredo Aguirre (BBOP Manager) and Daniel Emmer (Web Administrator, University at Buffalo School of Dental Medicine).