Oral Plasma Cell Granuloma: An Enigmatic Lesion

Lahari Ajay Telang, Ajay Telang

Abstract


We present a case of oral plasma cell granuloma in a 44 year old man with misleading clinical features of a red and white lesion on the gingiva in relation to the tooth #44 - #46 which was associated with advanced crestal bone loss and ill-defined radiolucency. Histopathology and immunohistochemistry demonstrated the polyclonal nature of the cells and yielded a diagnosis of plasma cell granuloma. This lesion merits discussion because it is typically found in the oral cavity and it reinforces the existence of inflammatory pseudotumors in the oral cavity. This report also discusses the diagnostic enigma and the associated terminology of plasma cell granulomas in the light of WHO description of the lesion.


Keywords


Granuloma; Plasma Cells; Pseudotumor; Gingiva; Oral Cavity; Xanthoma.

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