Abstract
Pyogenic granuloma is a benign, localized mass of exuberant granulation tissue produced in response to various stimuli. It is inflammatory hyperplasia of oral cavity commonly seen on gingival area and rarely on other parts of oral cavity such as lips, tongue, palate and buccal mucosa. It is seen predominantly in 2nd to 3rd decade of life in young females. Clinically manifesting as small red erythematous exophytic lesion, it must be biopsied to rule out other serious conditions. This article aims to present three cases of extra gingival pyogenic granulomas occurring in rare sites such as buccal mucosa, anterior hard palate and alveolar mucosa of completely edentulous ridge in maxilla. Pyogenic granuloma on buccal mucosa and anterior hard palate were seen in female patients with age of 40 years and 34 years respectively and pyogenic granuloma on alveolar mucosa of edentulous ridge in maxilla was noted in 70 years old male patient. Surgical excision was performed for all the lesion and follow up of one year did not show any recurrence. Please add little description of patient + treatment + followup results. DOI: http://dx.doi.org/10.3329/bjms.v12i4.16667 Bangladesh Journal of Medical Science Vol. 12 No. 04 October 13 Page 445-448
Highlights
Soft tissue enlargements of the oral cavity often present a diagnostic challenge because, a diverse group of pathologic process can produce such lesions 1
Pyogenic granuloma was first thought to be botryomycotic infection contracted from horses[4,10,11]
It was claimed without scientific evidence that pyogenic granuloma results from purulent changes within benign oral tumors[1,10]
Summary
Soft tissue enlargements of the oral cavity often present a diagnostic challenge because, a diverse group of pathologic process can produce such lesions 1. Pyogenic granuloma or granuloma pyogenicum is a relatively common soft tissue tumor of the oral cavity that is believed to be reactive and not neoplastic in nature, it is thought to represent an exuberant tissue response to local irritation or trauma 2, 3. The name pyogenic granuloma is a misnomer since the condition is not associated with pus and does not represent a granuloma histologically[4, 5]. Pyogenic granuloma are uncommonly seen elsewhere in mouth but may appear in areas of frequent trauma such as upper and lower lip, buccal mucosa and alveolar mucosa in edentulous mouth.[7] Pyogenic granuloma when occurs on rare location, there is a critical need for its proper diagnosis and, management. This article aims to present three rare cases of extra gingival pyogenic granulomas in rare sites such as buccal mucosa, anterior hard palate and alveolar mucosa of completely edentulous ridge in maxilla
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