Unusual pyogenic granuloma: Case report
DOI:
https://doi.org/10.59334/ROV.v2i25.242Keywords:
Pyogenic granuloma, lobular capillary hemangioma, irritation fibroma, peripheral ossifying fibromaAbstract
Pyogenic granuloma is considered as a reactive lesion, which is produced as a response to various stimuli. Its most common cause is trauma which is associated with poor oral hygiene. Resizable, most asymptomatic cases and are common developed in gum. It is mainly associated to young women, during the second decade of life, possibly due to a vascular effect mediated by hormonal changes.
A 22-year-patient is presented, with an injury of 10 years of evolution, painful, in gum relative to the teeth 1.1 to 1.4, which was clinically suitable to fibroma. An excisional biopsy was indicated, with the histological diagnosis, and it resulted in a fibrotic pyogenic granuloma. In the post surgical control, wound healing was excellent, asymptomatic and without signs of recurrence after one year of monitoring.
The definitive diagnosis was given by a histopathological study, which indicated the vital importance of these tests each time a removal of injury is made. Pyogenic granuloma can not be considered as a true neoplasm but as a reactive lesion, that evolves over time and is changing its structure.
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References
Adusumilli, S., Yalamanchili, P. S., & Manthena, S. (2014). Pyogenic granuloma near the midline of the oral cavity: A series of case reports. Journal of Indian Society of Periodontology, 18(2), 236–239. https://doi.org/10.4103/0972-124X.131339
Bagde H, Waghmare A, Savitha B, Vhanmane P., (2013). Irritation fibroma: A case report. International Journal of Dental Clinics. 5(1), pp.39-40.
Genco, RJ.; Goldman, HM.; Cohen, DW., (1993) Periodoncia. 1era Edición, Interamericama-Mc Graw-Hill: 297.
Hamid Jafarzadeh, Majid Sanatkhani, Nooshin Mohtasham. (2006). Oral pyogenic granuloma: a review. Journal of Oral Science. Vol. 48, No. 4.P 167-175. https://doi.org/10.2334/josnusd.48.167
López-Labady J., (2009) Estudio epidemiológico del Fibroma Traumático en una muestra de la población venezo-lana durante el período 1991-2001. Acta Odontológica Venezolana, 47 (3): 1-7.
Martins-Filho, Paulo Ricardo Saquete, Piva, Marta Rabello, da Silva, Luiz Carlos Ferreira, Reinheimer, Daniele Machado, & Santos, Thiago de Santana. (2011). Aggressive Pregnancy Tumor (Pyogenic Granuloma) with Extensi-ve Alveolar Bone Loss Mimicking a Malignant Tumor: Case Report and Review of Literature. International Journal of Morphology, 29(1), 164-167. https://doi.org/10.4067/S0717-95022011000100028
Medina Adriana, Santos Marina, Rodríguez Lolymar. (1999). Torus and bony exostosis. Revision of the literature. Acta odontológica Venezolana, volumen 37, número 2, artículo 12.
Mesa M., Vázquez D., Rodríguez M., Reyna A., Ruiz C. , (2013). Presentación de un paciente con fibroma traumá-tico subyacente a prótesis dental. Correo Científico Médico. 17 (4), pp.523-527.
Moret J, López-Labady J, Cuberos M, Camacho A, González JM. (2012). Fibroma Traumático: dos presentaciones clínicas, una misma entidad. Acta Odontológica Venezolana. Volumen 50, número 4.
Nazish-Alam M, Chandrasekaran S.C, Valiathan M.,(2010). Fibroma of the gingiva: a Case Report of a 20 year old lesion. International Journal of Contemporary Dentistry, 1 (3), pp. 107-109.
Reet Kamal, Parveen Dahiya, and Abhiney Puri. (2012). Oral pyogenic granuloma: Various concepts of etiopatho-genesis. J. Oral Maxillofac Pathol. 16(1): 79–82. https://doi.org/10.4103/0973-029X.92978
Regezi,J; Sciubba,J; (1989). Texto de Patología Bucal. 1era. Edición., Interamericana-Mc Graq-Hill: 137-140.
Regezi JA, Sciubba JJ, Jordan RC. (2003) Oral pathology: Clinical pathologic considerations. 4th ed. Philadelphia: WB Saunders; p. 115-6.
Sheiba R. Gomes, Quaid Johar Shakir, Prarthana V. Thaker, and Jamshed K. Tavadia. (2013). Pyogenic granuloma of the gingiva: A misnomer? – A case report and review of literature. J Indian Soc Periodontol.
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Copyright (c) 2016 Karina Cordero Torres, Nelson Pardo Carrasco, Andrea Arellano Rojas

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