A Case of Large Epulis Initially Suspected as a Malignancy

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  • 悪性を疑った巨大上歯肉エプーリス例
  • 臨床 悪性を疑った巨大上歯肉エプーリス例
  • リンショウ アクセイ オ ウタガッタ キョダイ ジョウ シニク エプーリスレイ

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Abstract

<p>Epulis refers to reactive tumor-like gingival enlargement. The main causes of epulis are local irritation by calculi, bacterial plaques, caries, or restorations with irregular margins. Epulis appears in the interdental papilla and is treated mostly by dentists. It is known to be a benign condition and to progress slowly. In some cases, however, it may become quite large and mimic a malignant tumor. In such cases, otolaryngologists should take responsibility for differential diagnosis.</p><p>A 64-year-old woman was referred to use for the evaluation of a large painless gingival mass. After biopsy, the lesion was diagnosed as not being a malignant tumor, but epulis. It was removed by operation, with complete epithelialization obtained in approximately seven months.</p><p>To prevent unnecessary surgery, it is necessary to make an accurate diagnosis prior to treatment.</p>

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