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Interrelationship between pyogenic granuloma and peripheral ossifying fibroma: a case report
Raja Sridhar1, Sangeeta Wanjari, I K Kanteshwari
1Department of Periodontics at Modern Dental College & Research Centre, Indore, India.
Journal of Dental Hygiene : JDH
|September 6, 2012
Summary
This case report details a rare instance where pyogenic granuloma (PG) transformed into peripheral ossifying fibroma (POF). Accurate histopathology is crucial for managing these oral growths and preventing recurrence.
Area of Science:
- Oral pathology
- Dermatology
- Oncology
Background:
- Pyogenic Granuloma (PG) and Peripheral Ossifying Fibroma (POF) are common oral hyperplasias.
- Differentiating PG and POF is essential for appropriate management.
- Few reports document the transformation between these reactive lesions.
Observation:
- A 35-year-old female presented with mandibular anterior gingival overgrowth.
- Initial biopsy diagnosed the lesion as PG; it was surgically excised.
- The lesion recurred after one year, with subsequent biopsy confirming POF.
Findings:
- Histopathological examination is critical for distinguishing PG from POF.
- This case highlights the potential for one reactive oral lesion to transform into another.
- Complete excision and curettage are vital for managing these conditions.
Implications:
- Accurate diagnosis and treatment are key to preventing recurrence of oral hyperplasias.
- Understanding the interrelationship between PG and POF aids clinical decision-making.
- This case underscores the importance of thorough histopathological evaluation for oral growths.
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