An unusual presentation of pyogenic granuloma of the lower lip

Abstract

Exophytic growth of the oral cavity often presents a diagnostic challenge because a diverse group of the pathologic process can produce such lesions. Inflammatory hyperplasia is one of the important etiology behind the exophytic growths of the oral cavity. The pyogenic granuloma (PG) is the most common type of inflammatory hyperplasia found in the oral cavity especially in the gingiva. Extragingival occurrence of PG is very rare. This case report has described an extragingival PG which occurred on the lower labial mucosa in a 54-year-old male patient.

Self-progressing Granulomatous Growth in Pediatric Patients: Pyogenic Granuloma?

“…Clinically, pyogenic granuloma is a pink to red/ purple hyperplastic, nodular growth. 4 It may occur on gingiva, lips, tongue, buccal mucosa, hard palate; gingiva being the most predominant site. They may be sessile or pedunculated, are soft in consistency, and generally painless.…”

“…10 Its core has a proliferating vascular connective tissue stroma with acute or chronic inflammatory infiltrates. 4 Surface can be ulcerated or nonulcerated, and there is a sparse collagen found in the connective tissue. 1 Based on the proliferation of vascular tissue, it has two variants known as lobular capillary hemangioma (LCH) and non-LCH type.…”

“…1 Based on the proliferation of vascular tissue, it has two variants known as lobular capillary hemangioma (LCH) and non-LCH type. 4 Treatment consists of removal of irritants and surgical excision of the complete lesion. 4 Other treatment forms may be excision through neodymium-doped yttrium aluminum garnet laser, flash lamp pulsed dye laser, or cryosurgery.…”

“…4 Treatment consists of removal of irritants and surgical excision of the complete lesion. 4 Other treatment forms may be excision through neodymium-doped yttrium aluminum garnet laser, flash lamp pulsed dye laser, or cryosurgery. Intralesional injections of ethanol or steroid and sodium tetradecyl sulfate have also been suggested.…”

“…1 Pyogenic granuloma is one of the most common exophytic growths in the oral cavity. 4 However, the term "pyogenic granuloma" is a misnomer. 5 Based on the histological considerations, it is a lobular capillary hemangioma 6 or focal fibrous hyperplasia.…”