Gingival Tumor in Young Female Patient: A Case Report

Case Report

Austin J Clin Case Rep. 2021; 8(4): 1204.

Gingival Tumor in Young Female Patient: A Case Report

Rithul P¹, Rao PK¹*, Kini R¹ and Gonsalvis N²

¹Oral Medicine & Radiology, A.J Institute of Dental Sciences, Karnataka, India

²Oral Pathology, A.J Institute of Dental Sciences, Karnataka, India

*Corresponding author: Dr. Prasanna Kumar Rao, Oral Medicine and Radiology, A.J Institute of Dental Sciences, NH 66, Kuntikana, Mangaluru 575004, Karnataka, India

Received: March 15, 2021; Accepted: March 31, 2021; Published: April 07, 2021


Pyogenic granuloma is one of the inflammatory hyperplasias seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection and in reality arises in response to various stimuli such as low-grade local irritation, traumatic injury or hormonal factors. Clinically, oral pyogenic granuloma is a smooth or lobulated exophytic lesion manifesting as small, red erythematous papules on a pedunculated or sometimes sessile base, which is usually hemorrhagic. The surface ranges from pink to red to purple, depending on the age of the lesion Conservative surgical excision is usually curative but recurrence is not unusual. Lasers and cryotherapy may also be employed.

Keywords: Pyogenic granuloma; Pregnancy; Oral cavity; Inflammatory reactive hyperplasia


Pyogenic Granuloma (PG) is a kind of inflammatory hyperplasia. The term “inflammatory hyperplasia” is used to describe a large range of nodular growths of the oral mucosa that histologically represent inflamed fibrous and granulation tissues [1]. It includes fibrous inflammatory hyperplasia (clinical fibroma, epulis fissuratum, and pulp polyp), palatal papillary hyperplasia, giant cell granuloma, pregnancy epulis and Pyogenic granuloma [2]. Pyogenic granuloma is a common tumor-like growth of the oral cavity or skin that is considered to be non-neoplastic in nature. Occurrence of pyogenic granuloma in man was first described in 1897 by Poncet and Dor. At that time, it was called botryomycosis hominis. Pyogenic granuloma has been referred to by a variety of other names such as granuloma pediculatum benignum, benign vascular tumor, pregnancy tumor, vascular epulis, Crocker and Hartzell’s disease. It was given its present name by Crocker in 1903 [3]. However, some researchers believe that Hartzell in 1904 introduced the term “pyogenic granuloma” that is widely used in the literature, although, it does not express accurately the clinical or histopathologic features [4]. The name pyogenic granuloma is a misnomer since the condition is not associated with pus and does not represent a granuloma histologically. It is a reactive inflammatory process filled with proliferating vascular channels, immature fibroblastic connective tissue, and scattered inflammatory cells. The surface usually is ulcerated, and the lesion exhibits a lobular architecture.

Case Presentation

A 16 year old female patient came to the Department of Oral Medicine and Radiology with complains of pain in relation to the upper right back teeth region since three months. Patient was apparently normal one-year back then she noticed growth, it was small in size and progressive to present size. She had history of pain while chewing and during brushing and also bleeding on touch. Patient had undergone treatment for the same since one-year back and they excised the lesion completely. On extraoral examination reveals Gross asymmetry noted. Swelling seen over of size approximately 2*1.5 cm extending superiorly from right ala of the nose to the upper lip and mediolaterally from the midline to the corner of the lip. Extension of a growth seen on the right side corner of the mouth, pink in colour. (Figure 1).