Pathology · single question

A recurrent gingival nodule (previously removed; sessile/pedunculated, bleeds) on biopsy shows osseous (bone/cementum-like) tissue. Diagnosis?

  1. Irritation fibroma
  2. Pyogenic granuloma
  3. Peripheral giant cell granuloma
  4. Peripheral ossifying fibroma
Show answer and explanation

Correct answer: D. Peripheral ossifying fibroma

  • A. Incorrect – dense fibrous tissue without mineralized product and rarely recurs.
  • B. Incorrect – highly vascular granulation tissue, no bone formation.
  • C. Incorrect – that diagnosis would require multinucleated giant cells on histology, not osseous tissue.
  • D. Correct – a reactive gingival nodule that contains mineralized (osseous/cementoid) tissue and has a notable recurrence rate.

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