scholarly journals Alternative Therapeutic Approach in the Treatment of Oral Pyogenic Granuloma

2015 ◽  
Vol 8 (3) ◽  
pp. 493-497 ◽  
Author(s):  
Amr Bugshan ◽  
Harsh Patel ◽  
Karen Garber ◽  
Timothy F. Meiller
Keyword(s):  
Oral Cavity ◽  
Malignant Tumors ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Hormonal Imbalance ◽  
Choice Of Treatment ◽  
Chronic Irritation ◽  
Multiple Recurrences ◽  
And Behavior ◽  
Rule Out

Pyogenic granulomas (PGs) in the oral cavity present as an inflammatory hyperplasia usually caused by trauma, hormonal imbalance, chronic irritation, or as the response to a wide variety of drugs. PGs with atypical presentation and behavior may clinically mimic malignant tumors. Thus, histological examination is required to rule out cancer development. Lesions in the oral cavity have been described to be either an isolated entity or present in multiple forms and with multiple recurrences. Conservative surgical excision is the standard choice of treatment in almost every scenario. However, the severity of the lesions and the affected sites often challenge surgical treatment. In this report, we describe the clinical scenario of a recurrent PG, where surgical excision of the lesion was questioned. As an alternative, we describe a noninvasive approach with lesional steroid injections.

scholarly journals AN UNUSUAL CASE OF EXTRAGINGIVAL PYOGENIC GRANULOMA ASSOCIATED WITH A FENESTRATION DEFECT

2020 ◽  
Vol 6 (1) ◽  
pp. 49-51
Author(s):  
Annapurna Ahuja ◽  
Sharmila Kumari ◽  
Aiswarya Mishra ◽  
Ruchi Minz
Keyword(s):  
Oral Cavity ◽  
Unusual Case ◽  
Pyogenic Granuloma ◽  
Root Tip ◽  
Low Grade ◽  
First Case ◽  
Hormonal Imbalance ◽  
Chronic Irritation ◽  
Granuloma Pyogenicum ◽  
Exposed Root

Pyogenic granulomas are relatively common benign mucocutaneous lesions found in the oral cavity or extra orally; The first case was reported in 1844 by Hullihen and the term “pyogenic granuloma” or “granuloma pyogenicum” was coined only in 1904 by Hartzell. It is a reactive tumor like lesion which arises in response to various stimuli such as chronic low grade irritation[1], trauma and hormonal imbalance[2]. It's an inflammatory hyperplasia commonly seen in the oral cavity caused due to chronic irritation and trauma. In this case report we present a case of pyogenic granuloma associated with gingival/bony fenestration caused due to chronic irritation by exposed root tip.

scholarly journals Pyogenic granuloma - report of three cases in rare sites

2013 ◽  
Vol 12 (4) ◽  
pp. 445-448
Author(s):  
AN Sulabha ◽  
S Choudhari ◽  
G Suchitra
Keyword(s):  
Oral Cavity ◽  
Buccal Mucosa ◽  
Hard Palate ◽  
Medical Science ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Patient Treatment ◽  
Young Females ◽  
One Year

Pyogenic granuloma is a benign, localized mass of exuberant granulation tissue produced in response to various stimuli. It is inflammatory hyperplasia of oral cavity commonly seen on gingival area and rarely on other parts of oral cavity such as lips, tongue, palate and buccal mucosa. It is seen predominantly in 2nd to 3rd decade of life in young females. Clinically manifesting as small red erythematous exophytic lesion, it must be biopsied to rule out other serious conditions. This article aims to present three cases of extra gingival pyogenic granulomas occurring in rare sites such as buccal mucosa, anterior hard palate and alveolar mucosa of completely edentulous ridge in maxilla. Pyogenic granuloma on buccal mucosa and anterior hard palate were seen in female patients with age of 40 years and 34 years respectively and pyogenic granuloma on alveolar mucosa of edentulous ridge in maxilla was noted in 70 years old male patient. Surgical excision was performed for all the lesion and follow up of one year did not show any recurrence. Please add little description of patient + treatment + followup results. DOI: http://dx.doi.org/10.3329/bjms.v12i4.16667 Bangladesh Journal of Medical Science Vol. 12 No. 04 October ’13 Page 445-448

scholarly journals Recurrent Pyogenic Granuloma – A Clinical Evaluation

2013 ◽  
Vol 7 (2) ◽  
pp. 132-133
Author(s):  
P Singh ◽  
M Dhamija ◽  
P Dhamija
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Clinical Evaluation ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
High Rate ◽  
Simple Excision

ABSTRACT The pyogenic granuloma is a localized tumour like overgrowth in the oral cavity caused by reaction to mild irritation. It is considered to be non-neoplastic in nature. 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 haemorrhagic. Treatment of pyogenic granuloma consists of conservative surgical excision which is usually curative. There is a relatively high rate of recurrence (about 15%) after simple excision. This case report describes a recurrent intraoral pyogenic granuloma which was successfully treated with surgical excision and scaling teeth without any significant complications.

scholarly journals Pyogenic Granuloma: A Case Report

2021 ◽  
Vol 8 (4) ◽  
pp. 61-64
Author(s):  
Maria Jabbar ◽  
Hira Butt ◽  
Nauman Rauf Khan
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Maxillofacial Surgery ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Oral And Maxillofacial Surgery ◽  
Granulomatous Disease ◽  
Second Trimester ◽  
Solitary Nodule ◽  
Abnormal Growth

Pyogenic granuloma is a type of inflammatory hyperplasia of the oral mucosa and skin that occurs commonly. Histopathologically, it mimics an angiomatous lesion instead of granulomatous disease. These lesions generally appear as a sessile papule or solitary nodule and may have a smooth or lobulated surface clinically. These granulomas present in a variety of sizes, ranging from a few millimeters to several centimeters. About 75% of the pyogenic granulomas of the oral cavity are associated with the gingiva. In this case report a 31 years old female presented in the department of oral and maxillofacial surgery with the complaint of abnormal growth of gingiva in maxillary anterior region. The patient was diagnosed with the pyogenic granuloma (pregnancy tumor), which had developed in the second trimester of her pregnancy. Surgical excision was done to remove the lesion.

scholarly journals Pyogenic granuloma under nail: A rare localization

2021 ◽  
Vol 12 (e) ◽  
pp. e61-e61
Author(s):  
Aida Oulehri ◽  
Zakia Douhi ◽  
Kaoutar Acheboune ◽  
Hanane Baybay
Keyword(s):  
Negative Impact ◽  
Malignant Tumors ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Capillary Hemangioma ◽  
Amelanotic Melanoma ◽  
Primary Role ◽  
X Rays ◽  
Vascular Structures

Pyogenic granuloma (PG) – also known as lobular capillary hemangioma – is a benign vascular tumour that occurs on the skin and mucous membranes, it’s can arise spontaneously, in sites of injury, or within capillary malformations [1]. Because malignant tumors, such as amelanotic melanoma, can be misdiagnosed as PG, histopathology is mandatory for the correct diagnosis, even though dermoscopy can play a primary role in the prompt recognition of PG, showing highly repetitive patterns that can support the diagnosis [2]. In particular, the presence of reddish homogeneous area, white rail lines are strongly suggestive of PG; even more so when associated together. On the other hand, with dermoscopy, it is not uncommon to detect ulceration and vascular structures that do not rule out malignancies [3]. Vascular structures are observed in 45% of cases, they can be linear-irregular or polymorphic and atypical [2]. Despite its benign nature, GP can have a significant negative impact on patients’ quality of life, and therefore appropriate therapy is needed. This is a 35-year-old patient with a history of trauma to his left hand dating back 3 months before his admission. He presents with a nodule under his left thumb, which has been evolving for 2 months, fixed in depth and sometimes-bleeding (Fig. 1). The nodule was slightly painful. X-rays of the thumb were normal. On dermoscopy (Fig. 2), we noted the presence of vascular lagoons with fibrous septal and linear vessels. We suspected a botryomyoma or achromic melanoma. Surgical excision was performed (Fig. 3) with an anatomopathological study in favour of a pyogenic granuloma.

scholarly journals Recurrent pyogenic granuloma caused by intraosseous vessel: A case report

2020 ◽  
Vol 4 (2) ◽  
pp. 039-041
Author(s):  
Var Hale ◽  
Sivrikaya Efe Can
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Alternative Methods ◽  
Hormonal Changes ◽  
Resonance Imaging ◽  
Feeder Vessel ◽  
Chronic Irritation

Pyogenic granuloma is a benign localized lesion of the skin and mucosa closely related to trauma, chronic irritation and hormonal changes. The method of treatment is surgical excision. But relapses can occur. For this reason, treatment with alternative methods such as cryotherapy, electrocautery and laser has been investigated in recent years. In this case, the cause of PG was a feeder vessel. The lesion was excised before and recurred within two weeks. An intraosseous feeder vessel was identified by a magnetic resonance imaging. This vessel was exposed and cauterized with electrocautery.

scholarly journals Gingival Tumor in Young Female Patient: A Case Report

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Rithul P ◽  
◽  
Rao PK ◽  
Kini R ◽  
Gonsalvis N ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Female Patient ◽  
Traumatic Injury ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Young Female ◽  
Low Grade ◽  
Hormonal Factors ◽  
Local Irritation

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. 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 Conservative surgical excision is usually curative but recurrence is not unusual. Lasers and cryotherapy may also be employed.

scholarly journals Angiosarcoma of sigmoid colon with intraperitoneal bleeding: case report and literature review

2011 ◽  
Vol 93 (6) ◽  
pp. e91-e93 ◽  
Author(s):  
Tse-Hua Lo ◽  
Mu-Shiun Tsai ◽  
Tzu-An Chen
Keyword(s):  
Sigmoid Colon ◽  
Alimentary Tract ◽  
Surgical Excision ◽  
Sigmoid Colectomy ◽  
Epithelioid Cells ◽  
Spindle Cells ◽  
Choice Of Treatment ◽  
Intraperitoneal Bleeding ◽  
Immunohistochemical Studies

Primary angiosarcomas arising from the alimentary tract are rare and only a few cases have been reported in the literature. We report a case of an angiosarcoma of the sigmoid colon with intraperitoneal bleeding but not rectal bleeding. A 21-year-old female patient received a laparotomy and a mass lesion over the sigmoid colon was found with active bleeding. A sigmoid colectomy was performed as a curative resection. Grossly, the sigmoid colon contained a kidney shaped, hemorrhagic tumour from the submucosal layer extension to the antimesenteric side. Intraluminally, the mucosa of the colon was intact. Microscopic examination revealed a high grade angiosarcoma composed of fascicles of spindle cells and solid sheets of epithelioid cells. Immunohistochemical stains revealed a positive result for CD31 and the endothelial nature of the malignancy was confirmed. Smooth muscle antigens, desmins, cytokeratins AE1/AE3 and CD117 were all negative. The patient is still alive without evidence of recurrence or metastasis at a three-year follow-up appointment. Owing to the availability of immunohistochemical studies, some atypical sarcomas would now be correctly classified as angiosarcomas. Since no optimal adjuvant treatment is effective, curative surgical excision is still the best choice of treatment.

scholarly journals Primary Oral Malignant Melanoma: Two Case Reports and Review of Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Neeraj Sharma
Keyword(s):  
Malignant Melanoma ◽  
Early Detection ◽  
Oral Cavity ◽  
Tumor Size ◽  
Malignant Tumors ◽  
Case Reports ◽  
Review Of Literature ◽  
Oral Region ◽  
Rare Neoplasm ◽  
Oral Malignant Melanoma

Primary malignant melanoma of the oral cavity is a rare neoplasm. The tumors tend to metastasize or locally invade tissue more readily than other malignant tumors in the oral region. The survival of patients with mucosal melanomas is less than for those with cutaneous melanomas. Tumor size and metastases are related to the prognosis of the disease. Early detection, therefore, is important.

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