Granuloma piogênico exuberante em sítio extragengival

Costa, Fábio Wildson Gurgel; Lima, Ana Thayssa Tomaz; Cavalcante, Roberta Barroso; Pereira, Karuza Maria Alves

doi:10.1590/s1808-86942012000400025

Cited by 4 publications

(5 citation statements)

References 5 publications

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“…A large part of the studies reveals that the gingiva is the predominant place for its emergence, representing 75% of the cases and, affecting more the vestibular face than the lingual face, especially due to the presence of receptors for hormones. They may also affect the skin, lips, tongue, jugal mucosa and palate 1,19,20 . In the present clinical case, we evidenced some aspects considered relevant as the region of occurrence and in male patient.…”

Section: Discussionmentioning

confidence: 99%

“…Authors consider as differential diagnosis of pyogenic granuloma, inflammatory gingival hyperplasia, peripheral giant cell injury, peripheral ossifying fibroma, hemangioma, lymphoma, Nevus Flameus, Kaposi's sarcoma, metastatic tumor, Parúlide, Hemangioendothelioma, Hemangiopericytoma, Leiomyoma, cytomegalovirus infection, gingival lesions by bacilli, periodontal abscess and fistula 1,2,6,10,14,15 . In the present study, we considered as diagnostic hypotheses the pyogenic granuloma and the peripheral lesion of giant cells, due to the clinical characteristics of the lesion, such as the growth of tumor-like volume, occurrence in the gingiva, diameter of approximately 2 cm, sessile base, ulceration.…”

Section: Discussionmentioning

confidence: 99%

“…Non-neoplastic proliferative processes constitute a group of pathological entities that are relatively common in the oral cavity, among them the pyogenic granuloma 1 .…”

Section: Introductionmentioning

confidence: 99%

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Pyogenic granuloma

Bandeira¹,

Brito²,

Domingues³

et al. 2019

J Oral Diag

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Pyogenic granuloma is a vascularized lesion, common in the oral cavity, not neoplasic, caused by trauma, local irritants or hormonal factors, with a higher prevalence in women, present more frequently in the mandible than in the maxilla. The first-choice treatment consists of removal of the local irritant factor, if any, and complete excision of the lesion. The objective of this work is to perform a clinical case report (CAEE nº 92256218.0.0000.5020) evidencing the clinical and histopathological characteristics of the pyogenic granuloma in a 36-year-old male, melanoderma, who attended the Department of Stomatology of the Faculty of Dentistry of the Federal University of Amazonas (FAO-UFAM). Intraoral examination, exfoliated, lobulated lesion with an increased volume of painless growth, softened consistency, with whitish borders, measuring approximately 2 centimeters, sessile base, highly vascularized appearance, ulcerated, bleeding when provoked, localized in the palatine gingiva, limited to the tooth region 23 to 26. Considering the characteristics of the lesion, anamnesis and the literature, the pyogenic granuloma and giant cell granuloma were defined as diagnostic hypotheses. We chose to perform supra and subgingival coronary scaling and excisional biopsy, and the piece was sent to the Pathology and Legal Medicine sector of the Faculty of Medicine of UFAM. In the histopathological examination, the lesion presented with epithelium characterized by areas of ulceration in its extension, a proliferation of endothelial cells in which they open in vascular spaces of varied sizes and most are obliterated by red blood cells. Fibroblastic proliferation with moderate deposition of collagen fibers and presence of exuberant chronic inflammatory cells characterized mainly by plasma cells and lymphocytes and also areas of hemorrhage, confirming the diagnosis of pyogenic granuloma. The patient is undergoing proservation, showing no signs of relapse after nine months of surgical excision.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pyogenic granuloma

Bandeira¹,

Brito²,

Domingues³

et al. 2019

J Oral Diag

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“…The excisional biopsy (complete removal of the lesion) is consensus in the literature as the best therapy for the treatment of pyogenic granulomas by minimizing recurrences 8,9,12,16,27 . These usually occur when deep satellite nodules, surrounding the original injury site, are not completely excised; when the etiological factors are unsuccessfully removed; or when there is a re-injury of the surgical area 16 .…”

Section: Discussionmentioning

confidence: 99%

“…In addition, in order to obtain an adequate therapeutic approach, the correct diagnosis of these lesions should be performed, distinguishing them from other entities that have similar characteristics 27 .…”

Section: Discussionmentioning

confidence: 99%

Gravidarum granuloma associated to an osseointegrated implant: case report

Trento

Veltrini

Santos

et al. 2014

Rev. odontol. UNESP

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ResumoIntrodução: O granuloma piogênico é uma lesão oral reativa, benigna não-neoplásica que pode ocorrer em mulheres grávidas, conhecido como granuloma gravídico ou granuloma da gravidez. Geralmente é uma massa altamente vascularizada, tem característica exofítica, podendo ser séssil ou pediculado e, sua superfície costuma ter aspecto liso ou lobular, com coloração que varia de vermelha a rósea. A sensibilidade dolorosa irá depender do grau de injúria traumática que envolve a lesão, mas esta é frequentemente indolor. Áreas adjacentes a implantes são raras para o aparecimento de tal granuloma. Objetivo: O objetivo deste relato foi apresentar um caso clínico de granuloma piogênico, em região de gengiva lingual inferior, próximo a um implante osseointegrado, em uma paciente de 33 anos de idade, grávida de 3 meses, que possui a lesão desde o início da gestação. Conclusão: Granuloma gravídico foi diagnosticado em associação a um implante dentário. Isto evidencia a necessidade de reforço em higiene oral nas regiões peri-implantares. O tratamento cirúrgico com biópsia excisional e controle da higiene oral foram suficientes para resolução do caso.Descritores: Granuloma piogênico; gestantes; implantes dentários. AbstractIntroduction: Pyogenic granuloma, known as gravidarum granuloma or pregnancy granuloma, is a benign non-neoplastic reactive oral lesion that may occur in pregnant women. It is usually a highly vascularized mass, which has exophytic characteristics, and it may be sessile or pedunculated. Its surface has usually a smooth or lobular aspect, with its coloration ranging from red to pink. The pain sensitivity will depend on the degree of injury involving the traumatic lesion, but it is frequently painless. Adjacent areas to dental implants are rare for the appearance of this type of granuloma. Objective: The aim of this case report was to present a clinic case of gravidarum granuloma in the region of lower lingual gingiva, adjacent to an osseointegrated implant in a 33-year-old woman, with 3 months of gestation, who had the lesion since the beginning of her pregnancy. Conclusion: Gravidarum granuloma was diagnosed in association to a dental implant, and it highlights the necessity for improvements of oral hygiene in the peri-implant regions. Surgical treatment with excisional biopsy plus hygiene control were enough to settle the case.

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Color-Doppler US features of a pyogenic granuloma of the upper dorsum tongue

et al. 2014

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The diagnosis of oral lesions is based on clinical history, clinical examination and imaging exams. Different imaging modalities are available for the diagnosis and follow-up of these lesions such as computed tomography, magnetic resonance imaging, color-Doppler ultrasound, angiography and positron emission tomography. To date, color-Doppler ultrasound is considered the first-line imaging approach since it provides a non-invasive, cost-effective, real-time evaluation of oral anomalies. It provides both morphological and vascular information which are useful to determine the best therapeutic options. Differential diagnosis of a bleeding lobular mass of the tongue is, however, not always easy and includes several vascular and non-vascular lesions. We present herein a case of pyogenic granuloma of the tongue that at Color-Doppler US appeared as hypervascular lesion.

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Granuloma piogênico exuberante em sítio extragengival

Cited by 4 publications

References 5 publications

Pyogenic granuloma

Pyogenic granuloma

Gravidarum granuloma associated to an osseointegrated implant: case report

Color-Doppler US features of a pyogenic granuloma of the upper dorsum tongue

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