Basal cell carcinoma (BCC) is a most common cutaneous malignancy nowadays. The Giant BCC, defined as a lesion with more than 5 cm at its largest diameter Basal cell carcinoma occurs most commonly in the mid-face followed by the ear. When this lesion appears on the auricle, it is found primarily on the posterior surface of the auricle, followed by the pre-auricular & then the retro-auricular areas. Of the many sites mentioned in the literature, not many of the retro-auricular BCC have been reported in journals. Here we report a case of giant BCC in retroauricular region.

Aims: To include pyogenic granuloma as one of the differential diagnosis of generalized gingival enlargements. Presentation of Case: In this article, we report a 11 years old female patient with generalized gingival enlargement, which on thorough clinical, histopathological and radiological examination concluded as a generalized gingival pyogenic granuloma. Discussion: Pyogenic granuloma (PG), a non specific conditioned gingival enlargement is a common localized exaggerated reactive hyperplasia of connective tissue of the oral cavity or skin in response to local factors and chronic irritation. But PG presenting as a generalized gingival enlargement is very rare and uncommon. Only one case was reported on "Generalized gingival pyogenic granuloma" in 2011, showing its rarity. But in our case, in addition to generalized presentation of pyogenic granuloma, it was also associated with extensive alveolar bone loss, tooth mobility and root resorption. Conclusion: Hence, although it is uncommon, pyogenic granuloma can also occur as a generalized gingival enlargement.