Large Fibroma of the Hard Palate: A Rare Clinical Presentation.

Fibromas of the oral cavity are benign proliferations of fibrous connective tissue, most commonly occurring in areas subject to chronic trauma, such as the buccal mucosa, tongue, and lips. Fibromas of the hard palate, particularly those of large size, are extremely rare. A 61-year-old female presented with a slow-growing, painless lesion on the midline of the hard palate that caused discomfort during mastication. Clinical examination revealed a firm, pedunculated, pale pink, cauliflower-like lesion measuring 2.5 × 3.6 cm. CT imaging showed no underlying bone involvement. An excisional biopsy was performed under local anesthesia, and hemostasis was achieved using ferric sulfate gel. Histopathological examination confirmed the diagnosis of fibroma. Postoperative healing was uneventful, with minimal discoloration at the surgical site. This case highlights the rare presentation of a large palatal fibroma, underscores the importance of considering uncommon sites in diagnosis, and demonstrates the safe use of ferric sulfate gel for intraoperative hemostasis.