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| BENIGN MESENCHYMAL TUMORS Overlying mucosa is normal unless traumatized; usually well-circumscribed, asymptomatic, slowly growing |
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|---|---|
| Irritation fibroma | Firm or compressible |
| Epulis fissuratum (inflammatory fibrous hyperplasia) | Located adjacent to flange of removable denture; firm or compressible |
| Peripheral ossifying fibroma | Occursonly on gingiva; firm; sometimes ulcerated; sometimes vascular; may move teeth |
| Leiomyoma | Firm; sometimes vascular. |
| Rhabdomyoma | Firm; located in areas of skeletal muscle |
| Peripheral giant cell granuloma | Occurs only on gingiva or attached alveolar mucosa; vascular |
| Hemangioma | Congenital; compressible; vascular; circumscribed or diffuse |
| Lymphangioma | Congenital; compressible; usually diffuse; not vascular |
| Pyogenic granuloma | Vascular; compressible; frequently has rapid growth, ulcerated, bleeds easily |
| Lipoma | Encapsulated; compressible; sometimes yellow |
| Neuroma (traumatic or amputation neuroma) | Firm; usually tender to palpation; size of lesion is dependent upon size of involved nerve |
| Neurofibroma | Firm or compressible; non-tender; circumscribed or diffuse; may occur with neurofibromatosis |
| Schwannoma (neurilemoma) | Encapsulated; firm; non-tender; |
| Granular cell tumor | Firm; sometimes overlying surface is rough |
| Congenital epulis | Firm; congenital; occurs only on attached alveolar mucosa |
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