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EpulisK06.80

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Alveolar ridge tumor; Epulis gigantocelullaris; Gum granuloma; Gum tumour

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DefinitionThis section has been translated automatically.

Generic term for aetiologically non-uniform, tumour-like (pseudotumour), non-specific, inflammatory and irritant granulation or resorption tumours which occur solitary or multiple times in the area of the gingiva or alveolar mucosa.

ClassificationThis section has been translated automatically.

The following classification is possible:

EtiopathogenesisThis section has been translated automatically.

Probably caused by chronic irritation of the gums (prosthesis, tooth filling); also congenital. More frequent occurrence during pregnancy (epulis gravidarum or pregnancy tumour). The so-called giant cell pulposus already occurs from the age of 6 years on, during the change of teeth. In epulis fibrosa, fibrosis leads to the formation of a hard, reddish tumour, usually on the vestibular side of the gingiva.

LocalizationThis section has been translated automatically.

Mostly alveolar ridge; gingiva.

Clinical featuresThis section has been translated automatically.

Pea- to cherry-sized, bright red, centrally occasionally eroded or ulcerated, slightly bleeding polyposis; depending on the extent, diastema and secondary malocclusion; no significant pain.

HistologyThis section has been translated automatically.

Mostly unspecific (inflammation-like) granulation tumour. It contains many giant cells of the osteoclast type and is therefore also called Epulis gigantocelullaris.

Differential diagnosisThis section has been translated automatically.

Benign or malignant tumours; fibroids; fistulas; pulp polyps.

TherapyThis section has been translated automatically.

Excision and histological control. Cooperation with the dentist.

Progression/forecastThis section has been translated automatically.

The giant cell pulposus of the gums behaves more like a real tumour. It does not regress spontaneously and tends to recur.

Note(s)This section has been translated automatically.

Pseudotumors with a similar structure are found on the tendon sheaths and on the inner skin of the joints. They are referred to here as "giant cell-containing tendon sheath tumor or villonodular synovialtitis".

LiteratureThis section has been translated automatically.

  1. Grundmann (2018) Dignity of tumors. Short textbook pathology p. 205 Elsevier Munich

  2. Truschnegg A et al.(2016) Nonsurgical treatment of an epulis by photodynamic therapy. Photodiagnosis Photodyn Ther 14:1-3.

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer