A Giant Cell Fibroma and Focal Fibrous Hyperplasia in a Young Child: A Case Report

Table 1

Differential diagnosis.

Lesion	Age	Sex	Site	Surface	Presentation	Radiograph	Incidence	Size
Fibroma [10–13]	20+	F	Gingiva/buccal mucosa	Smooth Keratinized	Pedunculated or sessile	None	Common	1+ cm
Pyogenic granuloma [10–13]	20+	F	Gingiva	Ulcerated	Pedunculated	None	Common	2-3 cm
Papilloma [10, 13]	30+	M/F	Lips, tongue	Papillary	Pedunculated	None	Uncommon	Small
Peripheral ossifying fibroma [10–13]	10+	F	Interdental papilla	Smooth Keratinized	Pedunculated or sessile	None	Rare	>1 cm
Giant cell fibroma [3, 5, 7, 13, 14]	20+	M/F	Mandibular gingiva	Papillary	Pedunculated or sessile	None	Rare	>1 cm
Peripheral odontogenic fibroma [10, 13]	Any	M/F	Attached gingiva	Smooth	Pedunculated or sessile	Sometimes	Uncommon	1-2 cm
Peripheral adenomatoid odontogenic tumor [10, 13]	10+	F	Anterior maxilla	Smooth Keratinized	Nodular swelling	None	Rare	0.5–1 cm
Peripheral giant cell granuloma [10, 12, 13, 15]	<30	F	Gingiva/alveolar ridge	Ulcerated	Pedunculated or sessile	None	Rare	0.5–1 cm
Neurofibroma [10, 13]	45+	M/F	Gingiva or tongue	Smooth	Pedunculated or sessile	None	Rare	1–3 cm
Lipoma [10, 13]	40+	M	Parotid area or buccal mucosa	Smooth Keratinized	Sessile	None	Uncommon	0.5–3 cm
Peripheral ameloblastoma [10, 13]	50+	M	Posterior gingival	Smooth or pebbly	Sessile	Sometimes	Very rare	0.5–1 cm
Intraoral neurilemoma [10, 13]	Any	M/F	Tongue	Smooth Keratinized	Sessile	None	Uncommon	0.5–1 cm
Peripheral calcifying odontogenic cyst [10, 13]	60+	M	Anterior mandible	Smooth	Sessile	Erosion of bone	Very rare	0.5–1 cm