Pyogenic Granuloma| Definition , Etiology , Clinical features, Investigation, Differential diagnosis, Treatment

September 18, 2011 | By | Reply More

Pyogenic Granuloma| Definition , Etiology , Clinical features, Investigation, Differential diagnosis, Treatment

 

Definition

•Pyogenic granuloma is a common tumor like granulation tissue overgrowth of the oral tissues in reaction to mild irritation.
Etiology
•Local mild irritation or trauma.
Picture3 Pyogenic Granuloma | ppt
Pyogenic granuloma of the gingiva.
Picture4 Pyogenic Granuloma | ppt
Pyogenic granuloma on the dorsum of the tongue.
Clinical features
•Pyogenic granuloma presents as a painless, exophytic nodular mass that is usually pedunculated or sessile, with a deep red color (Figs. ).
•The surface of the lesion may be smooth or lobulated, is often ulcerated, and is covered by a whitish-yellowish fibrinous membrane.
•It is soft on palpation and has a tendency to hemorrhage easily
•It grows rapidly and may range in size from a few millimeters to several centimeters.
•The gingiva is commonly affected (about 70–75%), followed by the tongue, lips, and buccal mucosa. Children and young adults are more frequently affected.
•Over 60% of patients are between 11 and 40 years of age.
Laboratory tests
•Histopathological examination.
Differential diagnosis
•Peripheral giant-cell granuloma,
•peripheral ossifying fibroma,
•hemangioma,
•Kaposi sarcoma,
•bacillary angiomatosis,
•leiomyoma,
•hemangioendothelioma,
•metastatic neoplasms.
•Surgical excision.

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Category: Dental, Oral Pathology, Oral Surgery

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