Extragingival Pregnancy Pyogenic Granuloma on the Lip

Abstract

Pregnancy pyogenic granuloma is considered a benign common growth that usually develops on the gingiva in the second and third trimester of gestation, in response to local irritation, trauma or hormonal factors. Here, the authors report a case of a primigravida who presented an extragingival pyogenic granuloma with a rapid progression in the post-partum. The occurrence on the lower lip in the first few days after delivery was a relatively rarity in the present case which provoked a meaningful state of anxiety and cancerophobia to the female. Complete excision was curative and brought immediate relief of pain and discomfort. This clinical report highlights the possibility of pyogenic granuloma presenting like a rapid-growing mass on the lip and the importance of clinical differential diagnosis of such presentation in this atypical location.

Oral Pyogenic Granuloma: A Narrative Review

“…During pregnancy, choosing the treatment modality for oral PG is challenging, and it depends on the severity of the symptoms. Gondivkar et al [90] and Canivell et al [111] have proposed surgical excision of the granuloma during pregnancy. On the other hand, Su et al [102] suggest that for patients without hemorrhagic or painless lesions, oral hygiene instructions, clinical monitoring of development of PG, follow-up, and oral self-care at home should be implemented.…”

Granuloma Piogênico incomum no lábio superior: Relato de Caso

“…Dentre suas características clínicas observa-se a uma lesão séssil ou pediculada com formação de uma massa exofítica eritematosa, de consistência mole, superfície irregular podendo ser lisa ou lobular, indolor, sangrante ao contanto, com crescimento lento e seu tamanho pode variar entre 0,5-1cm de diâmetro, sua coloração varia entre rosa e avermelhada, em casos mais raros a ocorrência de ulcerações nos GP podem acontecer devido a traumas secundários [6][7][8] . O GP pode acometer ambos os sexos e em qualquer idade, contudo estudos sugerem que esta lesão possui uma ligeira predileção pelas mulheres, numa proporção de 2:1,6 e tal predileção pode acontecer durante a gravidez, devido a associação entre o aumento nos níveis de estrógeno e má higienização bucal neste período 9 .…”