Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE): A rare pathology with unusual behavior

Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is a benign lesion of oral mucosa with unclear pathogenesis. The etiology of TUGSE is still not clear, but traumatic irritation is considered to be the most likely cause. The lesion is usually self-limiting and regresses on its own or after biopsy and recurrence or reappearance of lesion is rare. We present a very unusual behavior of this lesion where lesion not only reappeared/recurred within few days of complete excision, but was larger than initial lesion and regressed after incisonal biopsy of the recurrent lesion. This presentation is rarely reported.