Oral Pyogenic Granuloma: A Narrative Review

Thalidomide as Treatment of Lip's Pyogenic Granuloma

Pyogenic granuloma (PG) is a benign vascular tumor that can be challenging to treat, particularly in aesthetically sensitive areas. We report a case of a 32-year-old man with a PG on the upper lip that did not respond to conventional treatments, including glucocorticoid injections and long-pulse 1064 nm laser therapy. Due to aesthetic concerns and the lack of response to these treatments, the patient was administered oral thalidomide at a nightly dose of 75 mg for 5 months, which resulted in complete regression without recurrence over a 3-year follow-up. This case suggests thalidomide's potential as an effective alternative treatment for PG in sensitive areas.

Palatal Pyogenic Granuloma Suspected of Malignant Tumor: A Case Report and Literature Review

Pyogenic granuloma is a nonneoplastic inflammatory reactive hyperplasia commonly found in the soft tissues of the skin and oral mucosa. Oral pyogenic granulomas are usually found on the lips, gingiva, and tongue, but rarely on the palate. Surgical excision is the standard treatment for oral pyogenic granulomas. If it occurs on the palate, it is important to differentiate it from salivary gland tumors. Additionally, managing the disease with attention to recurrence is important. In this report, we present the case of a 66-year-old man who presented to the Department of Oral Diagnosis and Medicine at Hokkaido University Hospital with a mass lesion between the soft and hard palates. The patient was followed up for one year, but the lesion gradually enlarged and was accompanied by hemorrhage. Because of the atypical clinical course of the lesion, it was excised with a 7 mm safety margin, considering the possibility of palatal malignancy. Histopathological examination revealed oral pyogenic granuloma. When treating palatal tumors, clinicians should consider the possibility of minor salivary gland tumors, including malignancies.

Corticosteroids as a conservative treatment for recurrent pediatric oral pyogenic granuloma: a case report and review of the literature

Pyogenic granuloma is a noncancerous inflammatory tumor of the skin or mucous membranes. The most frequent causes include hormonal changes, drugs, or localized chronic inflammation. We report the case of an 11-year-old girl who presented with a bleeding gingival swelling and no significant medical history. The pyogenic granuloma presented as a sessile, lobulated, and violaceous lesion with fibrinous ulcerations and telangiectasias. The tumor recurred despite six surgical excisions. In this case report, we treated the latest recurrence with topical corticosteroids and triamcinolone injections, resulting in complete remission with no side effects. This case emphasizes the necessity for diagnostic certainty and the potential of corticosteroids as a less invasive and effective treatment for recurring pyogenic granuloma.

Pyogenic granuloma of the hard palate leading to alveolar cleft: a case report

This case report describes a rare occurrence of pyogenic granuloma (PG) in the hard palate deviating from its typical gingival location that led to the formation of an alveolar cleft. The aggressive growth pattern of the lesion, with atypical progression from a pedunculated nodule to an alveolar cleft, raised concern. The diagnosis was based on magnetic resonance imaging and computed tomography findings, which revealed a tadpole-shaped lesion originating from the midline hard palate. The differential diagnosis included a minor salivary gland tumor. Surgical excision was performed under general anesthesia and resulted in a mucosal defect without nasolabial fistula formation or bone exposure. The palatal defect was packed with oxidized regenerated cellulose and closed with Vicryl Rapide sutures, both of which contributed to the patient's successful outcomes. Our comprehensive approach, extending across the stages of surgical planning, execution, and postoperative care, demonstrated the advantages of a multidisciplinary strategy for the accurate diagnosis and effective treatment of palatal PGs. This report makes a meaningful contribution to the existing literature on common oral lesions by emphasizing the importance of a broad differential diagnosis and a systematic approach to oral pathologies. It also raises clinical awareness of PGs with atypical presentations and the diagnostic challenge that they pose.

Pyogenic Granuloma in the Mandibular Anterior Gingiva: A Case Study

The oral cavity is frequently affected by gingival pyogenic granuloma (PG), a benign tumor that is known for its quick growth and tendency to hemorrhage. The clinical presentation, diagnostic procedure, and treatment of a patient with gingival pyogenic granuloma are all detailed in this case study. A female individual aged 25 years in otherwise good condition arrived with a sessile gingival tumor in the anterior mandibular region that was expanding quickly. During dental hygiene procedures, there was intermittent bleeding and discomfort related to the lesion. Based on histology analysis and clinical examination, PG was diagnosed. The course of treatment included surgical excision followed by a histological analysis to ensure total eradication. Appointments for follow-up revealed adequate healing and no indications of recurrence. This case study aims to demonstrate the need for prompt diagnosis, appropriate treatment, and diligent follow-up to effectively manage gingival pyogenic granuloma. Dental professionals can better treat patients and achieve better results with a thorough understanding of this common oral lesion and its management.