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Extragingival pyogenic granuloma.

Karthikeya Patil1, V G Mahima, K Lahari

  • 1Dept. of Oral Medicine & Radiology, JSS Dental College and Hospital, Mysore, Karnataka. patilkarthik@rediffmail.com

Indian Journal of Dental Research : Official Publication of Indian Society for Dental Research
|January 16, 2007
PubMed
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Pyogenic granuloma, a common gum lesion, can rarely appear elsewhere, like the lip. This case highlights the diagnostic challenge of extragingival pyogenic granuloma mimicking serious conditions.

Area of Science:

  • Oral pathology
  • Dermatology
  • Surgical oncology

Background:

  • Pyogenic granuloma is a reactive hyperplasia of granulation tissue.
  • Typically presents on the gingiva, often linked to local irritants.
  • Extragingival occurrences are less common and can present diverse clinical features.

Observation:

  • An unusual case of extragingival pyogenic granuloma is reported.
  • The lesion was located on the lower lip.
  • It presented clinically as a cutaneous horn, mimicking other lesions.

Findings:

  • The case demonstrates that pyogenic granuloma can manifest atypically outside the oral mucosa.
  • The presentation as a cutaneous horn highlights the potential for misdiagnosis.
  • Histopathological examination is crucial for definitive diagnosis.

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Implications:

  • Clinicians should consider pyogenic granuloma in the differential diagnosis of lip lesions, even with unusual presentations.
  • Awareness of extragingival pyogenic granuloma is important for accurate and timely diagnosis.
  • This case underscores the need for thorough evaluation to rule out malignancy.