Pyogenic Granuloma Mimicking Vascular Tumour: Report of an Unusual Case
Tejas Bankar
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu, Chennai, Tamilnadu 603203, India.
Jyotsna Rajan
*
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu, Chennai, Tamilnadu 603203, India.
Vivek Narayanan
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu, Chennai, Tamilnadu 603203, India.
K T Magesh
Department of Oral Pathology and Microbiology, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu, Chennai, Tamilnadu 603203, India.
Abinaya Subramanian
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu, Chennai, Tamilnadu 603203, India.
Mahima Seetaram
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu, Chennai, Tamilnadu 603203, India.
*Author to whom correspondence should be addressed.
Abstract
Pyogenic granuloma is a benign, rapidly proliferating vascular lesion of the oral cavity, commonly affecting the gingiva but rarely occurring in the floor of the mouth. We present a case of a 70-year-old male with a pedunculated bluish-pink growth in the anterior floor of the mouth, initially suspected to be a vascular tumor based on clinical and radiological findings. Contrast-enhanced computed tomography revealed a well-defined hypervascular lesion. Complete surgical excision was performed, and histopathological examination confirmed the lesion as a pyogenic granuloma. Healing was uneventful with no recurrence during follow-up. This case underscores the diagnostic challenge of differentiating pyogenic granulomas from vascular tumors in uncommon sites and highlights the importance of histopathological confirmation and complete excision for definitive management.
Keywords: Pyogenic granuloma, floor of mouth, swelling, mass, tumour, excision