Aggressive Pyogenic Granuloma: A Case Report
The pyogenic granuloma is an exuberant tissue response to local irritation or trauma. Pyogenic granuloma is relatively common, soft tissue tumor of oral cavity that is believed to be reactive and not neoplastic in nature. The young lesions are highly vascular, red or reddish purple, often elevated and ulcerated, and bleed easily. Older lesions tend to be more collagenized and pink in appearance and histologically it resembles an angiomatous lesion rather than a granulomatous lesion. Some believe that the older lesion will develop into a peripheral ossifying fibroma or peripheral fibroma over time through fibrous maturation and ossification. In this paper, we present a case of pyogenic granuloma with large size and bone loss occurring on the posterior mandibular gingiva in a 44 years old female patient.
Neville BW, Damm DD, Allen CM, Bouquot JE. Soft tissue tumours. 2nd edition. In Oral and Maxillofacial Pathology. WB Saunders Co; 2004. p. 444-49.
Gnepp DR. Sternberg's Diagnostic Surgical Pathology. 4th edition. Philadelphia: Lippincott Williams; 2004. pp. 183–4.
Joseph AR, James JS, Richard CKJ. Oral Pathology, clinical and pathological correlations. 4th edition. Missouri: Saunders Elsevier; 2003. pp. 115–6.
Jeffrey A. Rossmann. Reactive Lesions of the Gingiva: Diagnosis and Treatment Options. The Open Pathology Journal. 2011;5:23-32.
Stacey EM. Disorders of soft tissue. In: Sternberg's Diagnostic Surgical Pathology. 4th Edition. 2004. p. 183–184.
Mubeen K, Vijayalakshmi KR, Abhishek RP. Oral pyogenic granuloma with mandible involvement: An unusual presentation. Journal of Dentistry and Oral Hygiene. 2011;3(1):6-9.
Shafer WG, Hyne MK, Levy HM. Shafer's textbook of oral pathology. 4th Ed. WB Saunders; Philadelphia: 1983. p. 359-361.
Nakamura T. Apoptosis and expression of Bax/Bcl-2 proteins in pyogenic granuloma: A comparative study with granulation tissue and capillary hemangioma. J Cutan Pathol. 2000;27:400-5.
Kamal R, Dahiya P, Puri A. Oral pyogenic granuloma: Various concepts of etiopathogenesis. J Oral Maxillofac Pathol 2012;16(1):79–82.
Ghalayani P, Hajisadeqhi S, Babadi F. Extragingival pyogenic granuloma associated with medication: Report of an unusual case. Dent Res J 2014;11(3):400–440.
Regezi JA, Sciubba JJ, Jordan RCK. Oral Pathology: clinico-pathologic considerations. 4th Ed. WB Saunders; Philadelphia: 2003. p.115-116.
Ravi V, Jacob M, Sivakumar A, Saravanan S, Priya K. Pyogenic granuloma of labial mucosa: A misnomer in an anomolous site. J Pharm Bioallied Sci. 2012;4(2):194-6.
Shenoy SS, Dinkar AD. Pyogenic granuloma associated with bone loss in an eight year old child: A case report. J Indian Soc Pedod Prev Dent. 2006;24:201-3.
Sheiba RG, Shakir QJ, Thaker PV, Tavadia JK. Pyogenic granuloma of the gingiva: A misnomer? – A case report and review of literature. J Indian Soc Periodontol 2013;17(4):514–519.
Rezvani G, Azarpira N, Bita G, Zeynab R. Proliferative activity in oral pyogenic granuloma: A comparative immunohistochemical study. Indian J Pathol Microbiol. 2010;53(3):403-407.
Ishida CE, Ranos-e-Silva M. Cryosurgery in oral lesions. Int J Sclerotherapy Dermatol 1998;37:283-5.
Meffert JJ, Cagna DR, Meffert RM. Treatment of oral granulation tissue with the flash lamp pulsed dye laser. Dermatol Surg. 1998;24:845-8.
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 3.0 License.
|Published by Celesta Software Pvt Ltd|