Pyogenic Granuloma at Buccal Mucosa : A Case Report

Abstract

      The pyoginic granuloma is a common tumorlike growth of the oral cavity that is considered to be nonneoplastic in nature. It is most common in children and young adults, in women more than males. Most of lesion appeared at gingival, but some can find at buccal mucosa. That is usually presented pedunculated mass originally thought to be caused by local irritations. This case report presented 58 years Thai male who had nephritic underlining disease. Coming with chief complaint had red mass at right buccal mucosa for 10 days. Clinical symptom presented red pedunculated mass near the occlusal surface of upper right first molar that was sharping cusp. It was 5 X 10 mm. in size. No pupation, not pale when compression. Differential diagnosis was pyogenicgranuloma and fibroma from irritation or fibroepithelial mass. This case was treated by conservative surgical excision. The specimen was submitted for micropic examination and showed a highly vascular proliferation that resembles granulation tissue. This lobular arrangement for the diagnosis "lobular capillary hemangioma". The final diagnosis was pyogenic granuloma or lobular capillary hemangioma. Then got rid off cause by grinding the sharp cusp, relieved pain with analgesic drugs 1-2 days after operationed, and oral hygiene instruction. After follow up for 7 days the wound was normal healing. To prevent the recurrence should follow up for awhile.
Key word: pyogenic granuloma