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Epuliden und ihre Differenzialdiagnosen

Epulides and their differential diagnoses

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Zusammenfassung

Epuliden sind fokale reaktive Hyperplasien der Gingiva. Nach ihrer Histologie werden das teleangiektatische Granulom (Epulis granulomatosa), die fokale fibröse Hyperplasie (Epulis fibromatosa), das periphere ossifizierende Fibrom (ossifizierende fibroide Epulis) und das periphere Riesenzellgranulom (Riesenzellepulis) unterschieden. Epuliden gehen vom periodontalen Ligament aus und entwickeln sich aus dem Sulcus gingivalis, infiltrieren aber den darunterliegenden Knochen nicht. Als Therapie genügt eine konservative Abtragung, auch wenn Rezidive nicht selten vorkommen können (bis zu 17,5 % beim peripheren Riesenzellgranulom). Da eine eindeutige klinische Diagnose nicht möglich ist und zahlreiche gutartige, aber auch maligne Tumoren differenzialdiagnostisch in Betracht kommen, sollten die Läsionen immer histologisch untersucht werden.

Abstract

The term epulis denotes a focal reactive hyperplasia of the gingiva. Histologically, epulides are devided into telangiectatic granuloma (epulis granulomatosa), focal fibrous hyperplasia (epulis fibromatosa), peripheral ossifying fibroma (fibroid ossifying epulis), and peripheral giant cell granuloma (giant cell epulis). Epulides originate from the periodontal ligament and develop from the gingival sulcus; however, there is no infiltration of the underlying bone. They are treated sufficiently by conservative local excision, although recurrences may develop (with peripheral giant cell granuloma in up to 17.5% of cases). Since the lesions cannot be diagnosed purely on clinical grounds, and benign as well as malignant tumors have to be considered in the differential diagnosis, histological examination must be performed.

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Danksagung

Der Autor wird durch die Stiftung Knochentumor-Referenzzentrum Basel unterstützt.

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  1. Knochentumor-Referenzzentrum und DOESAK-Zentralregister am Institut für Pathologie, Universitätsspital Basel, Schoenbeinstrasse 40, 4031, Basel, Schweiz

    G. Jundt

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D. Baumhoer, Basel

U. D. A. Müller-Richter, Würzburg

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Jundt, G. Epuliden und ihre Differenzialdiagnosen. MKG-Chirurg 11, 12–20 (2018). https://doi.org/10.1007/s12285-017-0130-5

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