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A massive pyogenic granuloma in the gingiva.
A M Chiong1, C M Chiong, A Y Dy
1Department of Otorhinolaryngology, University of the Philippines, College of Medicine, Manila.
Auris, Nasus, Larynx
|January 1, 1990
Summary
A giant pyogenic granuloma, a benign oral lesion, caused significant facial deformity in a young male. This rare, highly vascular case highlights an extreme presentation of this common condition.
Area of Science:
- Oral pathology
- Dermatology
- Head and neck surgery
Background:
- Pyogenic granulomas are common, benign vascular lesions often found on the skin and oral mucosa.
- They typically present as small, rapidly growing papules or nodules.
- While usually superficial, large or atypical presentations can occur.
Observation:
- A 22-year-old male presented with a large exophytic mass in the oral cavity.
- Initial biopsies revealed chronic inflammation and granulation tissue.
- The lesion was noted to be highly vascular during surgical excision.
Findings:
- Excisional biopsy definitively diagnosed the oral mass as a pyogenic granuloma.
- The lesion's large size resulted in considerable facial deformity, an unusual presentation.
- Histological examination confirmed the benign nature of the lesion.
Implications:
- This case underscores the potential for pyogenic granulomas to present with extreme size and facial disfigurement.
- Otolaryngologists and oral surgeons should consider pyogenic granuloma in the differential diagnosis of large, vascular oral masses.
- Understanding rare presentations is crucial for accurate diagnosis and management of benign oral lesions.