Pyogenic granuloma near the midline of the oral cavity: A series of case reports

Lobular capillary haemangiomas are benign vascular neoplasms that typically affect the skin or mucous membrane. Majority of the cases reporting lobular capillary haemangioma commonly involve the gingiva. There are rare cases presenting involvement of other parts of the oral cavity like buccal mucosa. The management of vascular lesions is more complex in children due to fear of uncontrollable bleeding. The case presented here reports a successful management of lobular capillary haemangioma of the buccal mucosa in an 11 - year - old child. Vascular lesions are one of the rare disorders affecting the overall quality of life of a child. American Academy of Paediatric Dentistry (AAPD) has presented numerous lesions, masses, or tumour-like conditions of hard and soft tissues within the oral and maxillofacial regions of children and young adults; most of these lesions being mucosal conditions. Oral vascular tumours encompass a wide spectrum of anomalies in children. In spite of the fact that a few cases are congenital, most of them arise during childhood.1 The vascular lesions of childhood are classified into two categories: haemangiomas (proliferating or involuting) and vascular malformations. Haemangioma is a term that envelops a heterogeneous gathering of clinical benign vascular lesions that share similar histologic features and presents as a proliferating mass of blood vessels. Haemangiomas are classified on the basis of their histological1 appearance as capillary, mixed or cavernous haemangiomas depending on the size of the vascular spaces or a sclerosing variety that tends to undergo fibrosis. Capillary haemangiomas are of two types; lobular capillary haemangioma and non-lobular capillary haemangioma depending on their histological features. Lobular capillary haemangioma (LCH) is a common reactive angiomatous proliferation of skin and mucous membranes.2,3 LCH (Mills et al. 1980 ) represents an essential, underlying lesion of pyogenic granuloma (PG).4,5 Based on the available literature and case reports, several clinical and histological differences were seen between PG and LCH, yet there is no clear distinction between the two and still remains a topic of debate. The peak prevalence of LCH is in paediatric population and young adults, with a female predilection. Although LCH is one of the most common soft tissue tumours of head and neck accounting for almost 6 % of all cases, there is a striking predilection for lesions on the gingiva. The occurrence of intraoral haemangiomas at sites such as lips, tongue, buccal mucosa, and palate are extremely rare. LCH is a tumour-like growth of the oral cavity or skin that is considered to be non-neoplastic in nature. The purpose of this paper is to report a case of lobular capillary haemangioma in a paediatric patient and describe the successful treatment of this case.

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Gigantic Oral Pyogenic Granuloma of the Oral cavity

Chettinad Health City Medical Journal ◽

10.36503/chcmj4(3)-12 ◽

2015 ◽

Vol 4 (3) ◽

Keyword(s):

Oral Cavity ◽

Pyogenic Granuloma

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Non Odontogenic Soft Tissue Cysts of the Oral Cavity

Journal of The Royal Naval Medical Service ◽

10.1136/jrnms-66-218 ◽

1980 ◽

Vol 66 (3) ◽

pp. 218-222

Author(s):

T. J. C. Hall

Keyword(s):

Soft Tissue ◽

Oral Cavity ◽

Clinical Features ◽

Case Reports ◽

Tissue Cyst

AbstractThe aetiology and clinical features of five types of non odontogenic soft tissue cyst of the oral cavity are described and case reports presented.

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

Case Reports in Dentistry ◽

10.1155/2012/975358 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5 ◽

Cited By ~ 2

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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Alternative Therapeutic Approach in the Treatment of Oral Pyogenic Granuloma

Case Reports in Oncology ◽

10.1159/000441839 ◽

2015 ◽

Vol 8 (3) ◽

pp. 493-497 ◽

Cited By ~ 2

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.

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Spindle Cell Lipomas of the Respiratory Tract: A Case Report and Comprehensive Literature Review

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489419862577 ◽

2019 ◽

Vol 128 (11) ◽

pp. 1086-1091 ◽

Cited By ~ 1

Author(s):

Jonathan Reid ◽

Bret Wehrli ◽

Leigh J. Sowerby

Keyword(s):

Literature Review ◽

Oral Cavity ◽

Respiratory Tract ◽

Spindle Cell ◽

Case Reports ◽

English Literature ◽

Good Prognosis ◽

Benign Tumors ◽

Common Location ◽

Literature Reviews

Background: Spindle cell lipomas (SCLs) are benign tumors that are characteristically present on the upper back and neck, but in rare cases present throughout the respiratory mucosa, causing hoarseness, stridor, dyspnea, and obstruction. Objective: To highlight the importance of considering SCL in the diagnosis of benign respiratory tract tumors, a literature review identified all published cases of respiratory tract SCLs, including 2 from our institution: one case in the nasopharynx and 1 in the nasal valve. Methods: All case reports, series and literature reviews from the English literature from 1975 through March 2018 were systematically identified for review in the MEDLINE, EMBASE, and Scopus databases. Two additional cases from our institution were described. Results: In total, 24 cases of SCL in the respiratory tract were identified for review. Two cases from our institution are described here, bringing the total of reported cases to 26. Extensive analyses of oral cavity SCLs already exist, so we excluded this site from our review and focused on sites where SCLs may present with respiratory symptoms. Excluding the oral cavity and oropharynx, the most common location described is the larynx. All 26 cases were treated with excision. One tumor required a second surgery, but there were no other complications nor recurrences. Conclusion: Although rare, SCLs may arise from throughout the respiratory tract and cause dyspnea, hoarseness and stridor. Spindle cell lipoma should be considered in the differential diagnosis of a respiratory tract mass. This diagnosis confers a good prognosis and patients may be reassured that surgery is almost always curative.

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Pyogenic granuloma - report of three cases in rare sites

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v12i4.16667 ◽

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

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