Pyogenic Granuloma or HaemangiomaA Diagnostic Dilemma in a 13-year-old Female

Abstract

Pyogenic granulomas and haemangiomas are well-known benign lesions of the oral cavity. Although pyogenic granulomas are known to have a gingival preference, while capillary haemangiomas are more commonly found on the lips, cheeks, tongue, and palate. There are several lesions in the oral cavity that resemble haemangiomas microscopically. Pyogenic granuloma is one of these lesions, characterised by the proliferation of endothelial cells, and is often indistinguishable from true haemangiomas microscopically. The clinical diagnosis of such a rare phenomenon can be quite difficult, as they can sometimes resemble more serious lesions, such as malignancies. Hereby, the authors present a case report of capillary haemangioma in the maxillary left posterior region of the jaw in a 13-year-old female, which was clinically diagnosed as pyogenic granuloma. The patient presented with a painless swelling, and no significant findings were observed on radiographic examination. The present case report aimed to resolve the dilemma in the diagnosis of vascular tumours and malformations, and to assess their histological, biological behaviour, and clinical presentation.