Pyogenic Granuloma: A Case Report

Abstract

Purpose: The purpose of this study is to evaluate the treatment and pursuit process of the pyogenic granuloma which has seen on 12 years old girl patient. Case Presentation: Pyogenic granuloma is a lesion which classified in vascular tumors which constitute 30-60% of all the reactive lesions of gingival tissue. Trauma, infections of capillary wall, hormonal factors, foreign materials, hypertension and poor oral hygiene are accused for development of pyogenic granuloma. It may occur at all age groups and in both sexs. In the oral cavity, pyogenic granuloma lesions are most frequently encountered on the gingiva. Definitive diagnosis can only be made by histopathologic examination of biopsied tissue. The treatment of this lesion is surgical excision. If surgical excision removal is incomplete, the lesion has got the risk of the recurrence. A twelve years old female child applied to our clinic with complaints like on anterior palatinal region gingival bleeding and swollen condition on the same region. As beginning treatment oral hygiene education was given to the patient and plaque and calculus were removed. Under local anesthesia the lesion was taken with excisional biopsy for doing distinctive diagnosis from the other pathological lesions which can be seen in oral cavity. In addition frenectomy surgery in the maxilla and ridge augmentation operation in the mandible is performed to provide more comfortable oral hygiene. Three-month follow-up results of the patients were found to occur again in the region of the palatal gingival enlargement. As a result, it was decided to re-operations performed gingivectomy. Patient after operations carried out gingivectomy was called to the appointment checked and encourage oral hygiene. Conclusion: After taking of the excisional biopsy, the diagnose was made shaping "The Pyogenic Granuloma" to the mass which was examined histopathologically under the light microscope. In the control inspection, there was not any recurrence clinically.

Pyogenic granuloma in a 6-year-old boy - a rare case report

“…Hence, they were more prone for occurrence of pyogenic granuloma rather than children, but it can be seen in all age groups. 13,15 It can be differentiated from other lesions like haemangioma histologically as it showed proliferation of endothelial cells and lack of inflammatory cell infiltrate. 15 Peripheral odontogenic fibroma was seen absolutely on the gingiva but vascular competence was very minimal.…”

Granuloma Piógeno: Reporte de un caso de lesión hiperplásica reactiva con aspecto tumoral

“…La histología y comportamiento clínico de granuloma han sido descritos ampliamente en la literatura, por lo que, su tamaño, sintomatología, antecedentes de enfermedades sistémicas, hallazgos radiológicos son criterios que permiten establecer un diagnóstico presuntivo, para este caso se sospecha de malignidad por su aspecto tumoral y poca frecuencia respecto a sus características clínicas y radiográfi cas; posteriormente se descartó su malignidad con el estudio anatomopatológico (8)(9)(10)(11)(12)(13)(14)(15)(16). Se reconoce este tipo de lesión como Épulis dental que se defi ne como una hiperplasia reactiva de la encía que puede causar reabsorción ósea; según la clasifi cación de la Organización Mundial de la Salud (ICD-11/2018) sobre ciertos trastornos específi cos de la encía y la cresta alveolar edéntula se distingue de épulis de células gigantes (granuloma periférico de células gigantes gingival), granuloma piógeno gingival y fi broma osifi cante (17)(18)(19)(20).…”

Granuloma Piogenikum Pada Wajah

“…Granuloma piogenikum atau lobular capillary hemangioma merupakan lesi hiperplasia jinak yang terjadi pada kulit dan membran mukosa sebagai respon inflamasi yang dipicu oleh iritasi lokal atau trauma (Görgün et al, 2017;Wollina et al, 2017;Amirchaghmaghi et al, 2008;Akbulut et al, 2015).…”