Excisional Biopsy of the Pyogenic Granuloma in Very High-Risk Patient (original) (raw)
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Pyogenic Granuloma of the Gingiva: A Case Report
International Journal of Contemporary Medical Research [IJCMR], 2018
Introduction: pyogenic granuloma is a benign vascular tumor of the oral mucosa that follows chronic irritation such as trauma, microorganisms, plaque, calculus…etc. It involves the gingival most frequently. Case report: We report a case of pyogenic granuloma of the gingiva The patient received initial therapy and then a cold-blade resection, followed by an anatomopathological examination of the excised tissue to confirm the diagnosis. Conclusion: this work reviews the clinical and histological characteristics and therapeutic modalities of pyogenic granuloma of the gingiva.
Pyogenic Granulomas in the Oral Cavity: A Series of Cases
Journal of IMAB - Annual Proceeding (Scientific Papers)
Introduction: Pyogenic granulomas represent tumorlike lesions affecting skin and the oral cavity. This classic definition can be somewhat misleading because such lesion is not associated with infection and lacks any clinical evidence of pus or histological evidence of actual granulation tissue. Scientific literature sources estimate its prevalence to 1:25000 per capita, affecting females twice as often. Pyogenic granuloma in the oral cavity affects the interdental papilla in 70% of the cases. Purpose: The authors present a case series of pyogenic granulomas in the oral cavity with varying localization and therapeutic approach. Materials and methods: This article presents six clinical cases of PG. Diagnosis is challenging due to similarities with number of tumorous and non-tumorous neoplasms (formations) in the oral cavity. Two histological types of pyogenic granuloma can be identified: lobular and nonlobular capillary hemangioma. Surgical excision is treatment method of choice, followed by deep curettage of the lesion toward the underlying bone. Such precautions are necessary because 15,8% of the lesions tend to recur over time. Results: Alternative therapeutic approaches for removal of PG are explored, which are aimed at reducing the recurrences after surgical treatment. Such opportunity is provided by utilization of Er:Yag laser, because its effect can reach the underlying bone. Conclusion: Pyogenic granuloma represents a diagnostic challenge, specifically in cases of atypical localization. Effective surgical approach requires complete removal of the pathological process from the surrounding healthy structures in order to prevent recurrences.
Pyogenic granuloma (PG) is one of the inflammatory hyperplasias seen in the oral cavity. It is a tumor like gingival enlargement that is considered an exaggerated conditioned response to minor trauma. It predominantly occurs in second decade of life in young females, possible because of the vascular effects of female hormones. Clinically it is a smooth or lobulated exophytic lesion, pedunculated or sometimes sessile base, which is usually hemorrhagic. Treatment consists of removal of the lesions plus the elimination of irritating local factors. This article describes a case of 60 year old nonpregnant female with a large oral pyogenic granuloma.
Gingival Pyogenic Granuloma -Clinical Case Report
International Journal of Current Science Research and Review, 2021
Pyogenic granuloma is a vascularized non neoplastic lesion, in the oral cavity, caused by trauma, local irritants or hormonal factors, with a higher prevalence in women, present more frequently in the mandible than in the maxilla. It is not associated with pus as its name suggests and histologically it resembles an angiomatous lesion rather than a granulomatous lesion. It is known by a variety of names such as Crocker and Hartzell’s disease, granuloma pyogenicum, granuloma pediculatum benignum, benign vascular tumor and during pregnancy as granuloma gravidarum Treatment consists of removal of local irritant, if any followed by excisional biopsy. This clinical case report presents the clinical and histopathological characteristics of the large pyogenic granuloma in a 36-year-old female, who reported to the Department of Santosh Dental College, Ghaziabad. Intraoral examination revealed a lesion mainly non tender, sessile, soft in consistency and measuring approximately 16by 9 mm in di...
Oral pyogenic granuloma: a review
Journal of Oral Science, 2006
Pyogenic granuloma is one of the inflammatory hyperplasias seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection and in reality arises in response to various stimuli such as low-grade local irritation, traumatic injury or hormonal factors. It predominantly occurs in the second decade of life in young females, possibly because of the vascular effects of female hormones. Clinically, oral pyogenic granuloma is a smooth or lobulated exophytic lesion manifesting as small, red erythematous papules on a pedunculated or sometimes sessile base, which is usually hemorrhagic. The surface ranges from pink to red to purple, depending on the age of the lesion. Although excisional surgery is the treatment of choice for it, some other treatment protocols such as the use of Nd:YAG laser, flash lamp pulsed dye laser, cryosurgery, intralesional injection of ethanol or corticosteroid and sodium tetradecyl sulfate sclerotherapy have been proposed. Because of the high frequency of pyogenic granuloma in the oral cavity, especially during pregnancy, and necessity for proper diagnosis and treatment, a complete review of published information and investigations about this lesion, in addition to knowledge about new approaches for its treatment is presented.
Outcome of Surgical Excision for Managing the Oral Pyogenic Granuloma
2021
Objective: To determine the outcome of surgical removal of oral pyogenic granuloma in terms of post-operative pain (POP), post-operative healing and post-operative infection. Materials and methods: This observational study was conducted at Oral and Maxillofacial Surgery department, Liaquat University of Medical and Health Sciences Jamshoro/Hyderabad, from October 2018 to March 2019. Patients of oral pyogenic granuloma, 18-45 years old and either of gender were included. Surgical process of oral pyogenic granuloma were done under local anesthetic by giving infiltration surrounding deep oral pyogenic granuloma by 2% Xylocaine along with adrenaline. Patients were followed for three weeks on weekly basis to access post-operative complications including post-operative healing. Data was collected via study proforma. Results: Total 37 patients took part in the study; their mean age was 47.86+7.61 years. On 1 st week assessment all patients were noted with history of mild pain, moderate pai...
Oral Pyogenic Granuloma : Series of 3 Case Reports
2014
Oral pyogenic granuloma is a common benign (non-cancerous) growth of blood vessels on the oral tissue. It usually appears as a fast growing red nodule and commonly bleeds. They are neither infective, purulent nor granulomatous as the name might suggest, rather they are reactive enlargement that is an inflammatory response to local irritation such as calculus,fractured tooth, minor trauma, rough dental restorations and foreign materials. Histologically, the surface epithelium may be intact, or may show foci of ulcerations or even exhibiting hyperkeratosis. It overlies a mass of dense connective tissue composed of significant amounts of mature collagen. Gingiva is the most common site affected followed by buccal mucosa, tongue and lips. Surgery is the most common conventional modality of treatment of this lesion, but with advancing time cryosurgery has evolved as a newer treatment which involves the use of either liquid nitrogen spray or a cryoprobe.Nd: YAG, CO2 and flash lamp pulsed ...
Overview of Oral Pyogenic Granuloma
Saudi Medical Horizons Journal, 2022
Enlargement of the soft tissues located within the oral cavity frequently provides diagnostic difficulties since they can be caused by a wide range of pathologic diseases. An expansion can be caused by neoplasms, inflammation, cysts, developmental defects, or many types of normal anatomical structures. When a prolonged tissue injury triggers an excessive tissue healing response, reactive hyperplasias develop, which are a subset of these lesions. One of the most typical conditions that result in the enlargement of the soft tissues is pyrogenic granuloma [1]. A benign Vascular tumor is characterized as a pyrogenic granuloma (PG), also referred to as a lobular capillary hemangioma. It develops as a result of cutaneous or mucosal inflammation-induced hyperplasia. Its name is misleading because it neither has anything to do with pus generation nor is it histologically made up of real granulomas. The development of PG's neoplastic tumor is thought to be a response to a variety of stimuli, including prolonged localized inflammation, trauma, hormonal effect, and medications. Poor oral hygiene is thought to be the leading cause of its frequent appearance in the oral cavity [2, 3].
Oral Pyogenic Granuloma: An Insight into its Etipathogenesis and Treatment Modalities
2018
Abstact: Exophytic gingival lesions are frequently seen in the oral cavity.Pyogenicgranuloma,an inflammatory hyperplasia of the oral cavity is commonly seen in the gingiva though other areas like lips ,tongue,buccal mucosa and palate are also affected.The term pyogenic granuloma is a misnomer since the condition is not associated with pus and shows no histologic evidence of granuloma.Current concepts point to low grade local irritation, trauma and hormonal influences as possible etiologies.Pyogenic granuloma usually occur in young females predominantly in second decade due to effect of female hormones on the vasculature.The lesion is usually pink to red to purple in color.It is a smooth or lobulated exophytic lesion on a sessile or pedunculated base which is occasionally hemorrhagic.Excision was the treatment of choice though currentlylasers,cryosurgery and sodium tetradecylsclerotherpy are used.Due to high frequency of this lesion in oral cavity during pregnancy ,a review of the cu...