[Year:2023] [Month:January-April] [Volume:6] [Number:1] [Pages:4] [Pages No:45 - 48]
Introduction: Pyogenic granuloma (PG) is also known by various names such as granuloma pyogenicum or lobular capillary hemangioma. It is a well-known benign vascular oral lesion which commonly presents on skin and mucosa with an unknown etiology. Although the gingiva is the site of occurrence of most of pyogenic granulomas of the oral cavity, literature reports rare presentations in other sites, including the lips, tongue, palate, and oral mucosa.
Case details: 14-year-old male patient presented to the department of Pediatric and preventive dentistry with the chief complaint of growth on the tongue since three months. The growth was slow, and initially it began as a pea-sized lesion which grew to its present size gradually. A solitary, exophytic, palpable, nontender, pedunculated growth was found intraorally on examination in the anterior two thirds of dorsum of tongue. Electrocautery was done to remove the entire lesion.
Discussion: PG is diagnosed clinically based on characteristic history and clinical findings. It is a rapidly growing lesion with either smooth or lobulated surface, pedunculated or sessile, with erythematous surface which becomes pale on maturation and varies in size. Long standing trauma and gingival irritation caused by faulty tooth brushing may be one among the contributing factors. Though many treatment modalities exist, such as laser ablation, excision using Nd:YAG laser, cryosurgery, curettage, electrical cautery, chemical cauterization, surgical excision of the lesion, involving 1–2 mm of surrounding normal tissue, remains the treatment of choice.