Abstract
A slightly retracted nodular induration was observed in the oral cavity of a 39 years old Japanese female. This lesion located submucously in left buccal region was noted two months prior to the initial visit because of mild pain.
Diagnosis was made after surgical removal of the horse bean sized lesion, through a mucobuccal incision (on Nov. 17, 1962). Histopathological diagnosis was fibrous granuloma of tuberculous origin, well encapsulated and considered inactive.
Medical history of this patient revealed numerous tuberculous diseases since her childhood, including pulmonary infiltration, tuberculous peritonitis and caries of the lumbar spine. X-ray diagnosis verified this past history.
It is assumed that the lesion had developed into the buccal mucosa hematogenously during active stage of tuberculosis in childhood around 13 years of age. This nonulcerative lesion apparently remained asymptomatic for over 25 years.
A rare case of atypical tuberculous granuloma in the oral cavity was reported.
