When the gingiva is affected it is generally a painless, sessile swelling that may ulcerate. Pain will arise with involvement of nerve terminals. Fibrosarcoma does not have a marked tendency to metastasize. Any intraoral growth showing malignant characteristics could be included in the differential diagnosis. Biopsy will show the nature of the lesion.
Radical surgery is the treatment of choice.
Radiation therapy seems to have no effect on this neoplasm. This exophytic lesion had a history of a moderate slow growth of several months. Two molars in the area were lost due to extreme mobility. The tumor involved alveolar ridge, buccal gingiva and buccal mucosa. A bone sequestrum is evident.