Case Report

Use of GaAlAs Diode Laser for Excisional Biopsy of Gingival Giant Cell Fibroma: A Case Report of a Rare Lesion

Abstract

Giant cell fibroma (GCF) is a relatively rare lesion in the oral cavity. Despite having unique microscopic features, it can be easily misdiagnosed clinically as any common hyperplastic lesion. This report presents a case of a 21-year old male with a lesion involving the papilla between the mandibular central incisors. The lesion was excised completely under topical anesthesia using a 980 nm diode laser. On histopathological examination of the excised tissue, no thermal damage or any other alteration was observed, while the features were suggestive of GCF. Healing of the gingiva was uneventful and without any signs of recurrence. Apart from the widely known advantages of the diode laser, it also appears to maintain the integrity of biopsy specimens, if used with appropriate settings. This advantage may play a vital role in the biopsy of rare lesions where the diagnosis is entirely based on accurate histopathological examination.

1. Buchner A, Hansen LS. The histomorphologic spectrum of peripheral ossifying fibroma. Oral Surgery Oral Med Oral Pathol. 1987 Apr;63(4):452-61.
2. Reibel J. Oral fibrous hyperplasias containing stellate and multinucleated cells. Scand J Dent Res. 1982 Jun;90(3):217-26.
3. Houston GD. The giant cell fibroma. A review of 464 cases. Oral Surg Oral Med Oral Pathol. 1982 Jun;53(6):582-7.
4. Chawla K, Lamba AK, Faraz F, Tandon S, Ahad A. Diode laser for excisional biopsy of peripheral ossifying fibroma. Dent Res J. 2014 Jul;11(4):525-30.
5. Okamura K, Ohno J, Iwahashi T, Enoki N, Taniguchi K, Yamazaki J. Giant cell fibroma of tongue: A report of case showing unique S-100 protein and HLA-DR immunolocalization with literature review. Oral Med Pathol. 2009;13(2):75-9.
6. Bakos LH. The giant cell fibroma: a review of 116 cases. Ann Dent. 1992 Jan;51(1):32-5.
7. Magnusson BC, Rasmusson LG. The giant cell fibroma. A review of 103 cases with immunohistochemical findings. Acta Odontol Scand. 1995 Jan;53(5):293-6.
8. Savage NW, Monsour PA. Oral fibrous hyperplasias and the giant cell fibroma. Aust Dent J. 1985 Dec;30(6):405-9.
9. Campos E, Gomez RS. Immunocytochemical study of giant cell fibroma. Braz Dent J. 1999;10(2):89-92.
10. Jimson S, Jimson S. Giant Cell Fibroma: A case report with immunohistochemical markers. J Clin Diagn Res. 2013 Dec;7(2):3079-80.
11. Liboon J, Funkhouser W, Terris DJ. A comparison of mucosal incisions made by scalpel, CO2 laser, electrocautery, and constant-voltage electrocautery. Otolaryngol Head Neck Surg. 1997 Mar;116(3):379-85.
12. Wollina U. Three hundred patients treated with ultrapulsed 980 nm diode laser for skin disorders. Indian J Dermatol. 2016 Sep;61(5):540-4.
13. Ahad A, Tandon S, Lamba AK. Faraz F. Minimally invasive management of pericoronal abscess using 810 nm GaAlAs diode laser. Int J Laser Dent. 2014;4(3):79-82.
14. Goharkhay K, Moritz A, Wilder‐Smith P, Schoop U, Kluger W, Jakolitsch S, et al. Effects on oral soft tissue produced by a diode laser in vitro. Lasers Surg Med. 1999;25:401-6.
15. Bagheri F, Rahmani S, Azimi S, Taheri J. Giant cell fibroma of the buccal mucosa with laser excision: Report of unusual case. Iran J Pathol. 2015;10:314-7.
16. Moritz A, Schoop U, Goharkhay K, Schauer P, Doertbudak O, Wernisch J, et al. treatment of periodontal pockets with a diode laser. Lasers Surg Med. 1998;22:302-11.
17. Zeinoun T, Nammour S, Dourov N, Aftimos G, Luomanen M. Myofibroblasts in healing laser excision wounds. Lasers Surg Med. 2001;28:74-9.
18. Janda P, Sroka R, Mundweil B, Betz CS, Baumgartner R, Leunig A. Comparison of thermal effects induced by contact application of fiber guided laser systems. Lasers Surg Med. 2003 Aug;33(2):93-101.
19. Suter VG, Altermatt HJ, Sendi P, Mettraux G, Bornstein MM. CO2 and diode laser for excisional biopsies of oral mucosal lesions. A pilot study evaluating clinical and histopathological parameters. Schweiz Monatsschr Zahnmed. 2010;120(8):664-71.
20. Capodiferro S, Maiorano E, Scarpelli F, Favia G. Fibrolipoma of the lip treated by diode laser surgery: A case report. J Med Case Rep. 2008 Dec;2(1):1-3.
21. Beer F, Körpert W, Passow H, Steidler A, Meinl A, Buchmair AG, et al. Reduction of collateral thermal impact of diode laser irradiation on soft tissue due to modified application parameters. Lasers Med Sci. 2012 Sep;27(5):917-21.
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IssueVolume 18 (IN PROGRESS) QRcode
SectionCase Report
Published2021-02-07
DOI https://doi.org/10.18502/fid.v18i3.5433
Keywords
Giant Cells Lasers Semiconductor Biopsy Fibroma

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How to Cite
1.
Naaz S, Ahad A, Bey A, Ansari H. Use of GaAlAs Diode Laser for Excisional Biopsy of Gingival Giant Cell Fibroma: A Case Report of a Rare Lesion. Front Dent. 18.