Inflammatory myofibroblastic tumor manifesting as recurrent generalized gingival enlargement: Report of a rare case

Inflammatory myofibroblastic tumor manifesting as recurrent generalized gingival enlargement: Report of a rare case

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Oral inflammatory myofibroblastic tumor (IMT) is extremely rare and its manifestation as generalized gingival enlargement (GGE) has never been reported.We are reporting the case of 50-year-old female patient presenting with recurrent GGE for 4 years.Panoramic radiograph revealed severe bone loss in posterior sextants and root resorption in Ski de fond - Equipement - Skis - Enfant - Classic some teeth.Initial incisional biopsy was suggestive of chronic inflammatory infiltrate with fibrocollagenous tissue.Definitive treatment comprised of surgical excision of the enlarged gingiva with a tapering dose of steroid therapy.

Histopathological and immunohistochemical examination from a repeat biopsy of deeper tissues was suggestive IMT.No recurrence was found at 2 years follow up.Recurrent GGE with advanced bone loss and external root resorption should raise the suspicion of a locally aggressive lesion.Dentists should be aware of oral IMT and include it in differential diagnosis of gingival enlargements for comprehensive management to avoid Diet recurrence of the lesion.