Pyogenic Granuloma of Lower Lip: An Unusual Presentation (original) (raw)

Pyogenic granuloma on the lower lip: An unusual location

Stomatos, 2013

Pyogenic granuloma is a lesion characterized by excessive production of granulation tissue in response to trauma or chronic irritating stimulation. This pathological entity affects more often children and young adult females, being found mainly in the gum. Clinically, the lesions appear as smooth or lobulated red nodules with easy bleeding, occasionally ulcerated. The present work aims to report a case of pyogenic granuloma, emphasizing the clinical and pathologic features important for diagnosis.

Uncommon pyogenic granuloma in lower lip of Orthodontic patient- Case report

Pyogenic granuloma is localized granulation tissue overgrowth or mucosal vascular hyperplasia. Clinically, pyogenic granulo ma presents as localized g ranulation tis sue overgrowth or mucosal vascular hyperplasia. These lesions can be found intraorally with incidence higher in females than males. Histologically, these lesions show a soft tissue fragment presenting hyperplastic stratified squamous epitheliu m with patchy ulcerated areas covered with pyogenic membrane and covering highly vascular granulation tissue containing aggregations of acute and chronic inflammatory cells. The most common treatment is surgical excision with eradication of local irritants. This case report describes a pyogenic granuloma on the lower lip in a 22-year-o ld male, discussing the clinical features and histopathologic features that distinguish this lesion from other similar oral mucosa lesions.

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.

An Unusual Case of Extra-oral Pyogenic Granuloma

British Journal of Medicine and Medical Research, 2017

Pyogenic granuloma is a moderately common, benign mucocutaneous lesion. It is a tumor-like proliferation to a non specific infection. It is non-neoplastic in nature and presents in different clinical and histological forms. In appearance, they are typically solitary and vascular usually seen in the oral cavity. It is an oral disease which appears in the mouth as an overgrowth of tissue in response to irritation, physical trauma or hormonal factors. The name for pyogenic granuloma is misnomer because of the fact that it is not a true granuloma. Skin of the face and neck, upper and lower extremities, and mucous membranes of nose and eyelids are common areas for extraoral involvement. The clinical diagnosis of extraoral variant of this lesion being an uncommon occurrence can be quite challenging and misleading as they sometimes may mimic more serious lesions. The purpose of this article is to report an unusual case of pyogenic granuloma occurring on lower lip.

Oral Pyogenic Granuloma in an 11-year-old Child: A Case Report

Journal of South Asian Association of Pediatric Dentistry, 2023

From the investigations, a provisional diagnosis of generalized marginal gingivitis, exfoliative mobility with respect to 54, and PG of gingival with respect to area teeth 54 and 55 was made. The differential diagnosis for this case was-irritational fibroma, peripheral giant cell granuloma, peripheral ossifying fibroma, abscess of soft tissue, hemangioma, localized juvenile spongiotic, and gingival hyperplasia. Biopsy of the lesion along with histopathological examination gives us the final diagnosis. IntroductIon Pyogenic granuloma (PG) is a benign inflammatory lesion. 1 Hullihen first reported it in 1844. 2 This lesion commonly occurs in the gingiva, whereas it rarely occurs extra-gingivally. 3 It is most frequently seen among people in the 20s, is uncommon in children and is more common among females than in males. 3,4 Pyogenic granuloma (PG) is usually an asymptomatic slow-growing lesion. 5 It may be presented as a single nodule or sessile papule with a smooth or lobulated surface and color ranging from bright red/pink to magenta/purple in rare cases. They may occur as smaller or larger lesions with sizes ranging from a few millimeters to centimeter. 5 The purpose of this paper is to discuss a rare case of PG in an 11-year-old female patient, where excision of soft tissue mass was done along with the extraction of the associated tooth 54 under local anesthesia.

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...

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 ...

Pyogenic granuloma: Report of two cases with review of literature

Journal of Periodontology & Implant Dentistry

Pyogenic granuloma (PG) is a reactive inflammatory hyperplastic oral lesion in response to local irritants. It is the most commonly occurring and a well-known oral lesion by oral physicians that most commonly affects gingiva, followed by lips, buccal mucosa, palate and tongue. "Pyogenic granuloma" term itself is a misnomer. This article presents a report of 2 cases of pyogenic granuloma of the gingiva and their management with a review of literature and also discusses why the term "pyogenic granuloma" is a misnomer.

Pyogenic Granuloma of Tongue in a 14-year-old Child: A Case Report

Journal of South Asian Association of Pediatric Dentistry

CASE REPORT that the growth was slow, and initially, it began as a pea-sized lesion which grew to its present size gradually. The patient had no symptoms except for periods of intermittent bleeding from the growth during mastication. The medical and family history was not significant. The face was bilaterally symmetrical, and there was no evidence of swelling extra orally. A solitary exophytic, palpable growth was found intraorally on examination in the anterior two-thirds of the dorsum of the tongue (Fig. 1). On clinical examination, the growth was found to be pale with a lobulated surface and greyish-white borders. The growth was nontender and pedunculated, and the dimensions were about 1.2 × 0.8 cm in diameter. Its consistency varied from soft to firm, showing no IntroductIon Pyogenic granuloma (PG) is a tumor-like growth that is considered an inflammatory response to minor trauma or trauma to the oral tissue. The term PG is based on heterogeneous skin lesions thought to be caused by pyogenic organisms. 1 Though the term PG means a lesion associated with infection or pus formation, it does not actually resemble a true granuloma histologically. 2 Although the etiology of PG is not yet explained clearly in literature, it is considered an exaggerated inflammatory hyperplastic reaction in response to any stimuli, physical or mechanical trauma, or hormonal factors. Any age group may be at risk of being affected by PG, but young adults and adolescents are among the most frequently affected, with a greater proportion of females than males (female: male = 2:1). 3 It is quite common for the occurrence of PG in females at puberty and pregnancy due to hormonal changes combined with an increased response of marginal gingiva to any local irritants like plaque and calculus. PG is rarely present on the lips, tongue, oral mucosa, and palate, with the gingiva accounting for the majority of documented instances. Usually slow-growing and asymptomatic, oral PG is a frequent hemorrhagic lesion that is raised, pedunculated, or sessile and ranges in size from a few millimeters to several centimeters. However, ulceration and bleeding may develop. 4 Clinically, these lesions present as dull red soft single nodules with smooth or lobulated surfaces. This is a case report that presents a case of PG, a condition that seldom affects the tongue. case descrIptIon A 14-year-old male patient presented to the department of pediatric and preventive dentistry with the chief complaint of growth on the tongue for 3 months. The present history of the lesion revealed