An unusual presentation of pyogenic granuloma

Oral pyogenic granuloma presenting as an atypically large soft tissue mass: A case report

“…From the literature review, multiple PG and large PG which called giant PG were seldom reported in the oral cavity but those occur on other parts of the body such as extremities were commonly found and some cases were suggested to be related with immunocompromised patients [5,13]. However, three cases of intraoral giant PG reported by Tzung-Shiahn et al [10], Mubeen et al [11] and Panjwani et al [9] were not associated with host's immunity [9][10][11]. Recently, there was a report of intraoral giant PG size 4 cm × 3 cm in pregnancy woman with decreasing in size after her delivery [8].…”

“…Complete excision and improvement of patients' oral hygiene are necessary for effective treatment. Regular oral health care and continuous follow-up are required to prevent recurrence of the lesion [2,3,5,6,[8][9][10][11][12].…”

“…Most reports suggest that PGs grow to a maximum size of 2 cm while lesions of larger size called "Giant pyogenic granuloma" were reported extraorally with the size larger than 4 cm [2,5,7]. In addition, there were few reports of intraoral PG with the size larger than 2 cm [8][9][10][11]. Therefore, we report this unusually large size of oral PG on the right lower gum in an elderly female patient.…”