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[Rare case of pyogenic granuloma of the tongue in an 8-week-old child].

In paper a case of pyogenic granuloma of the tongue in an 8-week-old child was presented. The signs and symptoms, etiological agents, surgical treatment, and complications are discussed. This case is the youngest case with an unusual location. The lesion was presented as sessile, soft, single and pink erythematous nodule with tendency to spontaneous hemorrhage, 3 cm in diameter. We performed conservative excision because of anaemia and not good condition of the child. We didn't observe recurrence of this lesion in follow-up after 2 weeks, 6 months and 3 years. We report this case to alert the otorhinolaryngologist of this rare condition. There have been very few reports in the literature of this condition.

Granuloma, Pyogenic↗

Oral pyogenic granuloma: a review of 38 cases from Ibadan, Nigeria.

Thirty-eight cases of patients with histologically confirmed pyogenic granuloma of the oral cavity were treated at the University College Hospital Dental Centre during the period 1982-1993. The age of the patients at presentation ranged from 5 to 74 years (mean 33) and the male:female ratio was 1:1.2. The main site was the gingiva (n-29, 74%). The clinical presentation was generally similar to that in other studies except that most of the lesions were large. All 38 cases were treated by excision and there were no recurrences among those with adequate follow-up.

Adolescent↗

Pyogenic granuloma after transconjunctival blepharoplasty: a case report.

This is the first known report of a relatively large postoperative pyogenic granuloma developing after a nonsutured transconjunctival blepharoplasty. Inflammation and separation or malapposition of the conjunctival wound edges probably permitted the lesion to proliferate in the inferior fornix. No foreign material could be implicated because no suture was used to close this incision. Additionally, Polydek suture material (braided polyester fiber) was associated with the complication of a suture tract and granuloma when used for a tarsal suspension procedure for ectropion repair in this patient.

Conjunctival Diseases↗

Pyogenic granuloma as a cause of bone loss in a twelve-year-old child: report of case.

The pyogenic granuloma frequently appears between the ages of eleven and forty years. It is a benign soft tissue lesion of inflammatory origin, which may be misdiagnosed as a neoplastic tumor due to its rapid development. Definitive diagnosis can only be made by histopathologic examination. Treatment is by conservative local excision. The present manuscript reports on the diagnosis and treatment of such a lesion, which caused significant maxillary bone loss in a twelve-year-old child.

Abscess↗

Pyogenic granuloma of the oral cavity: comparative study of its clinicopathological and immunohistochemical features.

There are two histological types of pyogenic granuloma (PG) of the oral cavity: the lobular capillary hemangioma (LCH) and non-LCH type. The aim of the present study was to examine and compare the clinical features, etiological factors, diameter of vascular elements and immunohistochemical features of LCH and non-LCH histological types of PG to determine whether they are two distinct entities. Thirty cases of LCH and 26 cases of non-LCH PG were retrieved and retrospectively studied. Clinically, LCH PG occurred more frequently (66.4%) as sessile lesion whereas non-LCH PG occurred as pedunculated (77%). Non-LCH PG was associated more frequently (86.4%) with etiological factors. The lobular area of the LCH PG contained a greater number of blood vessels with small luminal diameter than did the central area of non-LCH PG. In the central area of non-LCH PG a significantly greater number of vessels with perivascular mesenchymal cells non-reactive for alpha-smooth muscle actin and muscle-specific actin was present than in the lobular area of LCH PG. The differences found in the present study suggest that the two histological types of PG represent distinct entities.

Actins↗

Pyogenic granuloma subsequent to apical fenestration of a primary tooth.

BACKGROUND: The authors present two case reports of patients exhibiting pyogenic granulomas in the maxillary labial mucosa, which were related to an apical fenestration of a primary incisor. CASE DESCRIPTIONS: Several researchers have reported that the gingival wound and surrounding inflammatory tissue typically heal spontaneously after extraction of a fenestrated primary tooth. However, in the cases presented here, the gingival lesion did not heal after the fenestrated teeth were extracted. CLINICAL IMPLICATIONS: After extracting fenestrated teeth, clinicians need to examine the labial area at a follow-up appointment to ensure that the gingival hyperplasia heals properly. The authors suggest performing curettage of the surrounding abnormal tissue at the time of the tooth extraction.

Child↗

[Pyogenic granuloma vs. lobular capillary hemangioma. Histopathological analysis and epidemiology (Venezuela)].

A review of the literature is done concerning Pyogenic Granuloma. From two hundred and thirty eight cases of our files. Twenty four cases are separated which are considered histopathologically different and to which the term Lobular Capillary Hemangioma is more applicable. Epidemiologic studies are analyzed and conclusions are established. Pyogenic Granuloma is more a reactive type of lesion of inflammatory nature, while Lobular Capillary Hemangioma separated as an entity is considered a lesion of benign neoplastic nature and vascular origin.

Adolescent↗

Extramedullary hematopoiesis in a pyogenic granuloma.

Extramedullary hematopoiesis is rare outside the setting of significant primary hematologic disease. We describe this phenomenon in an exuberant pyogenic granuloma in an otherwise healthy man. We postulate that this vascular lesion provided a suitable milieu for homing and proliferation of stem cells.

Granuloma, Pyogenic↗

Pyogenic granuloma associated with bone loss in an eight year old child: A case report.

Soft tissue enlargements of the oral cavity often present a diagnostic challenge because a diverse group of pathologic processes can produce such lesions. An enlargement may represent a variation of normal anatomic structures, inflammation, cysts, developmental anomalies and neoplasm. Within these lesions is a group of reactive hyperplasias, which develop in response to a chronic, recurring tissue injury that stimulates an exuberant or excessive tissue repair response. The pyogenic granuloma is a reactive enlargement that is an inflammatory response to local irritation such as calculus, a fractured tooth, rough dental restoration and foreign materials. This article aims to present a case of pyogenic granuloma in 8 year old child patient associated with resorption of bone in relation to the tooth.

Alveolar Bone Loss↗

Pyogenic granuloma of the oral cavity.

A case of pyogenic granuloma on the tongue of a woman who was seven months pregnant is reported. A brief review of the literature is given along with suggestions for the management of similar cases.

Adult↗

[Pyogenic granuloma: report of a case].

An instance of pyogenic granuloma in a nine years old boy is reported as well as clinical features, hystology, radiographic report and post-operative result.

Child↗

Cutaneous seeding of hepatocellular carcinoma due to percutaneous ethanol injection and masquerading as a pyogenic granuloma.

BACKGROUND: This investigation reports a 68-year-old man with a history of hepatocellular carcinoma (HCC) diagnosed 2 years previously who developed a single, easy-bleeding, pyogenic granuloma (PG)-like lesion on his right upper abdomen, located in the area of previous therapeutic percutaneous ethanol injection (PEI) for HCC treatment. The lesion developed 3 months after the injection. The tumor was found to be identical to his previous HCC. OBJECTIVE: To describe a case of cutaneous seeding of HCC during PEI presented as a PG-like lesion. To our knowledge, this is the first such case reported in the literature. METHODS: This is a case report and review the literature. RESULTS: Immunostainings for alpha-fetoprotein and hepatocyte monoclonal antibody confirmed the diagnosis. Besides, the patient had no other metastatic lesion. CONCLUSION: This tumor is believed to be caused by cutaneous seeding of HCC during PEI and is simulated clinically as a PG.

Aged↗

Case reports: mitozantrone-induced onycholysis associated with subungual abscesses, paronychia, and pyogenic granuloma.

Chemotherapeutic agents may induce a wide variety of adverse mucocutaneous effects, including nail changes. We present a case of atypical onycholysis, associated with subungual abscess formation, paronychia and pyogenic granuloma resulting from the use of mitozantrone, an antineoplastic cytotoxic agent, in the treatment of metastatic prostate cancer.

Abscess↗

Oral giant pyogenic granulomas associated with facial skin hemangiomas (Sturge-Weber syndrome).

This is a case report of two patients, aged 26 and 22, who suffered from congenital hemangioma on their faces and pronounced gingival overgrowth localized parallel to extraoral lesions. Prior to surgical intervention the hygienic conditions were improved in several sessions by means of professional preventive treatment and oral hygiene instructions. Histologic examination of both cases revealed a highly vascularized pattern of pyogenic granuloma. One of the cases was associated with a pregnancy. These patients can be classified as Sturge-Weber syndrome. Postsurgical treatment consisted of efficient plaque control and adequate oral prophylaxis sessions every 3 months. The large gingival overgrowth was not observed to recur in 2 and 4 years, respectively, of follow-up.

Adult↗

Amelanotic melanoma presenting as a pyogenic granuloma.

A sixty-two year old man was diagnosed as having an amelanotic of the right great toe after the lesion had been treated for several months as a pyogenic granuloma. Establishment of the correct diagnosis was aided by the finding of a radiolucent defect on a roentgenogram of the toe. Since amelanotic melanoma usually presents as a vascular or ulcerated nodule, rather than as a pigmented nevus, the lesion may be mistaken for a benign tumor. This case illustrates the necessity of histologic confirmation of all presumed pyogenic granulomas. Furthermore, it also stresses that clinical, histologic, and prognostic distinctions must be made between amelanotic melanoma and its pigmented counterpart.

Diagnosis, Differential↗

Vascular tumors arising in port-wine stains: two cases of pyogenic granuloma and a case of acquired tufted angioma.

Three female patients affected by intradermal vascular tumors were presented. The lesions were acquired and developed from preexisting port-wine stains (PWS). Among the three patients observed, two had a pyogenic granuloma (PG) and the third patients had tufted angiomas. As reported earlier, formation of a PG within the lesion of a PWS supports the assumption that arteriovenous anastomoses are associated with its pathogenesis. Occurrence of tufted angioma from a PWS, as well as coexisting but separate PWS has been reported. However, the tufted angiomas of our patient were located in different sites, one in the PWS and others separate from the PWS. This has never previously been reported.

Adult↗