Rare Presentation of Plasma Cell Granuloma on Gingiva: Case Report Punde Prashant A1,*, Agrawal Shyam Kishor2, Suryawanshi Harshal N3, Agarwal Vijay4 1Assistant Professor, Department of Oral & Maxillofacial Surgery, School of Dental Science and Hospital, Krishna Institute of Medical Sciences, Karad 2Assistant Professor, Department of Conservative Dentistry & Endodontics, NIMS Dental College &Hospital, Jaipur, Rajasthan, (India) 3Lecturer, Department of Oral and Maxillofacial Surgery, Dr. G. D. Pol Foundation's, YMT Dental College and Hospital, Kharghar, Navi Mumbai, Maharashtra, India 4Reader, Department of Orthodontics, NIMS Dental College &Hospital, Jaipur, Rajasthan, India *Corresponding author: Dr. Prashant A Punde Assistant Professor, Department Of Oral & Maxillofacial Surgery, School Of Dental Science And Hospital, Krishna Institute Of Medical Sciences, Karad-415110. Maharashtra, India. Mob. +91-8806149845. Email Id.: pprashanta1@gmail.com
Online published on 15 February, 2017. Abstract Background Plasma cell granuloma is a non-neoplastic lesion very uncommonly seen in the maxillofacial region. Its etiology, biological behaviour, ideal treatment and prognosis are still unclear and rather controversial. This article presents a rare case of gingival plasma cell granuloma. Case details A rare case of this lesion affecting the gingiva is presented here, which could easily have been mistaken for a pyogenic granuloma, a peripheral giant cell reparative granuloma or a fibrous gingival epulis, had it not been for a histological study conducted on this lesion. The lesion presented in a middle aged female patient as a fibrous firm mass on attached gingiva in relation to maxillary posterior teeth. Histopathological examination of the excised specimen revealed a proliferation of inflammatory cells, among which there was a typical predominance of plasma cells with the typical cartwheel shaped nuclei, set in a fibrovascular connective tissue. Case was followed up for 3 years without any recurrence. Conclusion In the current case, the family experienced distress related to the suggestion of squamous cell carcinoma before referral for treatment and definitive diagnosis. This was a benign condition. Treatment consists of surgical excision, including the periosteum, and scaling of adjacent teeth. Close postoperative follow-up is required because of the growth potential of incompletely removed lesions and the 8%-20% recurrence rate. Improper suggestions to patient without exact diagnosis should be avoided in order to eliminate unnecessary emotional distress to patient. Top Keywords Plasma cell Granuloma, plasma cells, surgical excision. Top |