An unusual case of oral leiomyoma mimicking a gingival epulis

Resumo

Leiomyoma, the commonest benign tumor of the uterus
is a rare occurrence in the oral cavity and when present mimics various
other soft tissue tumors of the oral cavity and lead to a diagnostic
dilemma to the clinician. Objective and case report: The low incidence
of this lesion, the unusual location, and its histomorphological pattern
of presentation which needs to be differentiated from other spindle
cell lesions posing a diagnostic challenge makes the report of this
case worthy in a 32-year-old male, with a soft tissue swelling of the
right lower gingiva which appeared to be an epulis but finally turned
out to be a leiomyoma. Conclusion: Histopathology is the only means
by which a diagnosis can be arrived at and at times might require
special stains for a definitive diagnosis.