Profusely bleeding oral pyogenic granuloma in a teenage girl

Abstract

Pyogenic granuloma (PG) is a kind of inflammatory hyperplastic soft tissue lesion of the oral cavity. The lesion, however, is not related to infection and arise as a reactive growth in response to various stimuli. It has a very high vascularity because of the presence of numerous prominent capillaries. The lesion has a bleeding tendency, even after a minor traumatic episode, such as during mastication. Bleeding may be at times very severe and difficult to control. We present the case of a profusely bleeding young PG in a young teenage child.

Unusual presentation of oral pyogenic granulomas: a review of two cases

“…The differential diagnosis of oral PGs include hemangioma, lymphangioma, peripheral giant cell granuloma, peripheral ossifying fibroma, conventional granulation tissue, malignancy, Kaposi's sarcoma, angiosarcoma, non‐Hodgkin's lymphoma, syphilis, tubercular ulcer, traumatic ulcer, and cutaneous horn of the lip . In our case, the huge PG of the tongue clinically mimicked a “verrucous carcinoma,” posing a diagnostic challenge.…”

Granuloma piógeno oral recurrente con pérdida ósea alveolar y movilidad dentaria: Reporte de un caso inusual

“…Es probable que al recurrir haya producido dicha reabsorción. El diagnóstico diferencial de los GPO incluye fibroma odontogénico periférico, hemangioma, hiperplasia gingival inflamatoria, granuloma periférico de células gigantes, linfoma no Hodgkin, angiosarcoma, fibroma osificante periférico, sarcoma de Kaposi, linfangioma, sífilis, úlcera tuberculosa y úlcera traumática (3,5,26) . En nuestro caso, el GPO simulaba clínicamente la mayoría de las entidades anteriormente mencionadas como diagnósticos diferenciales y sumado a la característica de pérdida ósea y movilidad dentaria representó un desafío diagnóstico, por lo que fue de vital importancia el análisis anatomopatológico para un diagnóstico y tratamiento certero.…”

A Bleeding Oral Mass in a Pregnant Woman

“…Common clinical presentations can range from asymptomatic to severe, with bleeding, pain, and discomfort while eating. The differential diagnosis commonly includes hemangioma, peripheral giant cell granuloma (an exophytic lesion seen in the gingiva that would have more of a bluish hue), amelanotic melanoma (a melanoma that lacks normal pigment), squamous cell carcinoma, basal cell carcinoma, common wart, and Kaposi sarcoma (which most commonly occurs in immunocompromised patients) …”

“…The differential diagnosis commonly includes hemangioma, peripheral giant cell granuloma (an exophytic lesion seen in the gingiva that would have more of a bluish hue), amelanotic melanoma (a melanoma that lacks normal pigment), squamous cell carcinoma, basal cell carcinoma, common wart, and Kaposi sarcoma (which most commonly occurs in immunocompromised patients). 2,7 Treatment of choice for most patients is surgical excision that extends down to the periosteum, except in cases in which excision would cause significant deformity. After excision, there is potential for recurrence in up to 16% of patients.…”

“…Topical therapy with imiquimod, phenol, or topical β-blockers has also been used. [1][2][3][4]7 After treatment of an oral pyogenic granuloma, careful oral hygiene with soft toothbrushes and removal of dental plaque to prevent further irritation near the gum line are important to prevent recurrence of the lesion. 2…”