Abstract:A 10-year-old boy presented to clinic with history of polypoid skin lesion on right lower chest for a month. Initially it was a small pinhead sized lesion but since then it has grown quickly to the present size of a peanut. It is not painful but has bled multiple times. Patient had no history of trauma to the area or preexisting skin condition. Physical exam shows an erythematous lobulated nodule measuring 1 cm × 1 cm with a friable and moist surface on right lower chest. A clinical diagnosis of pyogenic granu… Show more
“…In the oral cavity, PG appears a smooth or lobulated exophytic and red erythematous papule on a pedunculated or sessile base, and it is usually hemorrhagic and compressible[ 1 , 2 , 16 ]. The surface of PG is characteristically ulcerated[ 17 ], and its color varies from red, reddish purple to pink, depending on the degree of vascularity and the age of the lesion[ 16 , 17 ].…”
BACKGROUND
Pyogenic granuloma (PG) is a localized, reddish and vascularized hyperplastic lesion of the connective tissue which occurs in the oral cavity. In most cases, the presence of this lesion does not show alveolar bone resorption. The pathology is diagnosed clinically with some caution. However, the diagnosis and treatment are usually corroborated with histopathological evidence.
CASE SUMMARY
Three clinical cases of PG associated with bone loss were described in this study. The three patients presented tumor-like growth which bled on touch, and were associated with local irritant factors. Radiographs showed bone loss. All cases were treated with conservative surgical excision. The scarring was satisfactory, and there was no case of recurrence. The diagnoses were based on clinical findings, and were confirmed histopathologically.
CONCLUSION
The occurrence of oral PG with bone loss is unusual. Therefore, clinical and radiographic evaluations are important for the diagnosis.
“…In the oral cavity, PG appears a smooth or lobulated exophytic and red erythematous papule on a pedunculated or sessile base, and it is usually hemorrhagic and compressible[ 1 , 2 , 16 ]. The surface of PG is characteristically ulcerated[ 17 ], and its color varies from red, reddish purple to pink, depending on the degree of vascularity and the age of the lesion[ 16 , 17 ].…”
BACKGROUND
Pyogenic granuloma (PG) is a localized, reddish and vascularized hyperplastic lesion of the connective tissue which occurs in the oral cavity. In most cases, the presence of this lesion does not show alveolar bone resorption. The pathology is diagnosed clinically with some caution. However, the diagnosis and treatment are usually corroborated with histopathological evidence.
CASE SUMMARY
Three clinical cases of PG associated with bone loss were described in this study. The three patients presented tumor-like growth which bled on touch, and were associated with local irritant factors. Radiographs showed bone loss. All cases were treated with conservative surgical excision. The scarring was satisfactory, and there was no case of recurrence. The diagnoses were based on clinical findings, and were confirmed histopathologically.
CONCLUSION
The occurrence of oral PG with bone loss is unusual. Therefore, clinical and radiographic evaluations are important for the diagnosis.
“…According to Regezi et al., 6 it is a reactive or reparative process in which a certain stimulus causes exuberant proliferation of connective tissue. Another hypothesis suggests that there is an imbalance between promoters and inhibitors of angiogenesis, and this explains why there is excessive vascular proliferation in these lesions 7 …”
Pyogenic granuloma is a non-neoplastic reactive lesion that commonly occurs in gingiva. It is rarely found in other locations such as the lips, tongue, palate and buccal mucosa. Lesions affecting the upper lip are even rarer and very few cases have been reported in the literature. In such situations, the lesion may mimic other conditions such as minor salivary gland tumours, mesenchymal tumours, and infectious lesions, which may create diagnostic difficulty. This case report describes an uncommon location of pyogenic granuloma occurring on the upper lip in a 49-year-old male patient.
ObjectivesTo report an unusual presentation of a Lobular Capillary Hemangioma in a 48 h old neonate to inform practitioners on the importance of proper identification of the lesion, differential diagnosis and management.Case presentationWe report the case of a newborn female presenting with a pedunculated mass on the right hand, port-wine colored that quickly turned dark purple indicating thrombosis. The mass was surgically excised without complications and histopathology analysis reported a LCH. An abdominal and renal ultrasound was requested to rule out any underlying abnormalities. At follow-up, two months later, there is adequate healing and no related complications.ConclusionsLobular Capillary Hemangioma is a rare vascular malformation that occurs at an early age in the head and neck in most cases. We report an unusual case of a newborn female patient with a pedunculated lobular hemangioma on the right hand. Surgical treatment was performed with good cosmetic results. Our case is relevant as it raises awareness of the different diagnoses a congenital mass can be and that we, as physicians, should take into consideration when making a diagnosis and treatment.
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