Gupta Neetika, Thangarasu Venkatesh, Tihara Palak, Ul Nisa Tauqeer
Department of Periodontology, I.T.S Dental College, Hospital and Research Centre, Uttar Pradesh, India.
Department of Periodontology, Vinayaka Missions Sankarachariyar Dental College, Vinayaka Mission's Research Foundation [Deemed to be University], Salem, Tamil Nadu, India.
Indian J Pathol Microbiol. 2023 Apr-Jun;66(2):375-378. doi: 10.4103/ijpm.ijpm_206_21.
Pyogenic granulomas represent tumor-like lesions affecting the skin and the oral cavity. This classic definition can be somewhat misleading because such lesion is not associated with infection and lacks any clinical evidence of pus or histological evidence of actual granulation tissue. This case report describes a surgical excision of the growth to exclude angiomatous proliferation. The patient reported a chief complaint of localized gingival overgrowth since 4 months. Intraoral examination revealed an irregular, sessile exuberant growth in respect to labial aspect and interdental gingiva of 31, 32, and 33, measuring about 1.6 × 1.1 cm. Based on the clinical findings, the case was provisionally diagnosed as "pyogenic granuloma". A treatment was planned for the patient. A surgical excision was done irt 31, 32, 33, and the tissue was sent for histopathological examination, which was suggestive of a healing type of pyogenic granuloma.
化脓性肉芽肿是一种影响皮肤和口腔的肿瘤样病变。这个经典定义可能会有些误导，因为这种病变与感染无关，且缺乏任何脓液的临床证据或实际肉芽组织的组织学证据。本病例报告描述了对该肿物进行手术切除以排除血管瘤样增生。患者自述4个月来主要症状为局部牙龈过度生长。口腔检查发现，在31、32和33牙唇侧及牙间牙龈处有一个不规则的、无柄的、增生性肿物，大小约为1.6×1.1厘米。根据临床检查结果，该病例初步诊断为“化脓性肉芽肿”。为患者制定了治疗方案。对31、32、33牙进行了手术切除，并将组织送去做组织病理学检查，结果提示为愈合型化脓性肉芽肿。
