Left maxillary mass
A 67 y/o male presents with a left maxillary mass. The lesion is present for many years and increased in size recentyly. It is not painful and it does not bleed. What is the diagnosis and management?
Peripheral ossifying fibroma? Peripheral giant cell granuloma? Pyogenic granuloma can be ruled out since the swelling doesn't bleed. Other benign conditions turning to malignancy should be considered, eg- Fibroma to fibrosarcoma. manifestation of lymphoma or metastasis from some other primary neoplasm should also be considered. Take an OPG to check the status of the bone surrounding the lesion and condition of the maxillary sinus. Excision followed by H/P evaluation is advised.
??FNAC & ??Biopsy Required, ??Suspected case of malignancy CBC, LFT, RFT Proceeds ahead according to report. Treatment procedures should be performed on the basis of staging of the cancer.
Adv biopsy
I think FIBROMA
Case of Enlargement of Gingiva . Advice 1. FNAC 2.CBC 3. Blood Sugar F/R/PP . Patient past medical history and present medical history .
Fibroma , excitional biopsy
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