Common Benign Oral Pathologies and Their Features
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Common Oral Benign Lesions and Tumors
6. Peripheral Giant Cell Granuloma (PGCG)
Reactive lesion.
Key Features:
- Prevalence: More common in females and older individuals.
- Site: Exclusively on the gingiva or alveolar mucosa.
- Etiology: Local irritation or trauma.
Clinical Characteristics:
- Color: Dark red.
- Surface: Often hemorrhagic and may be ulcerated.
- Appearance: Sessile or pedunculated mass.
Radiographic Features (X-ray):
- May show superficial bone resorption, sometimes described as "saucerization" or a "cupping effect".
- Can appear as an ill-defined radiolucent (RL) area if bone is involved.
Histopathology:
Characterized by three zones:
- Zone of Hyperplastic Stratified Squamous Epithelium: Often shows acanthosis and hyperkeratosis.
- Giant Cell-Free Zone: A band