Fibroma physical examination

Common physical examination findings of oral fibroma include sessile, dome-shaped mass, 1-2 cm in diameter, pale pink in color, and firm, non-tender on palpation. Common physical examination findings of non-ossifying fibroma include localized tenderness or swelling over a lesion. Common physical examination findings of cemento-ossifying fibromas include a sessile or pedunculated mass, may be ulcerated and generally has a diameter of less than 2 cm, and diffuse expansion of jaw on right maxillary posterior area, extending anteroposteriorly from distal of upper right second premolar to tuberosity region. Common physical examination findings of desmoplastic fibroma include tenderness over the affected area and palpable mass may be present.

• Oral fibroma appears as a sessile, dome-shaped mass with a smooth surface.
• The size of the lesion may range from 1-2 centimeters in diameter.
• Oral fibroma is usually pale pink in color. Occasionally, the lesion may appear reddish.
• If traumatized, ulceration on the surface may be noted.
• Oral fibroma is firm upon palpation and exhibits a well-defined periphery and usually non-tender on palpation.

The proximal tibia metaphysis is the most common location, followed by the distal femoral metaphysis.^[1]

• Patients may have localized tenderness or swelling over a lesion
• A pathologic fracture may be present

• Large non-ossifying fibroma may cause localized tenderness or swelling over a lesion and/or pathologic fracture in the long bones.^[2]

• Tenderness over the affected area
• Palpable mass may be present^[3]

• Localized pain or pathological fracture may be present
• Localized firm swelling of the tibia may be present

• Intra-oral examination may reveal diffuse expansion of jaw, if mandible is involved.
• Swelling in the affected region is the most common clinical sign observed in patients with ossifying fibroma.
• Ossifying Fibroma of jaw may cause tooth displacement and root resorption in adjacent teeth.^[4][5]

• Extraorally, lesion presented as fullness with ill-defined borders on right lower 2/3rd of the face.^[4]

• A sessile or pedunculated mass may be present on intraoral examination
• Mass may be ulcerated and generally has a diameter of less than 2 cm.
• Intraoral examination may reveal diffuse expansion of jaw on right maxillary posterior area, extending anteroposteriorly from distal of upper right second premolar to tuberosity region.

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