Pyogenic Granuloma in the Lip of a Senile Patient: Case Report
DOI:
https://doi.org/10.21270/archi.v11i1.5524Keywords:
Granuloma, Pyogenic, Lip, AgingAbstract
Pyogenic granuloma is a growth of connective tissue that resembles a reactive tumor, but of a non-neoplastic nature. The gum is the most affected region; however, lips, tongue and other areas of the mouth mucosa and skin may be affected, trauma is prevalent in these places. They are found most frequently in the second and third decades of life, showing predilection for the female gender. The present study reports the case of pyogenic granuloma in a 62-year-old patient. During the anamnesis, the patient reported that the posterior tooth traumatized the lower lip region, revealing the parafunctional habit of lip biting, with evolution time of approximately 2 months. The intraoral examination showed the presence of exophytic nodular lesion, on a septic basis, of coloration of the same color as surrounding lip mucosa and lightly ulcerated. Before clinical data, the diagnostic hypothesis was Mucocele. The treatment carried out consisted in the surgical removal and, the specimen, forwarded to the laboratory of oral pathology of the UEA, being the diagnosis of pyogenic granuloma. The patient was accompanied for 2 years and 3 months in the postoperative and presented no evidence of recurrence of the lesion. In view of this, this account shows the importance of knowing the characteristics of the lesions even when the location and age of the patient are unusual. Guiding and accompanying the patient in such cases provides good treatment and prognosis.
Downloads
References
Avelar RL, Antunes AA, Carvalho RWS, Santos TS, Oliveira Neto PJ, Andrade ESS. Granuloma piogênico oral: um estudo epidemiológico de 191 casos. RGO. 2008;56(2):131-36.
Lawoyin JO, Arotiba JT, Dosumu OO. Oral pyogenic granuloma: a review of 38 cases from Ibadan, Nigeria. Br J Oral Maxillofac Surg. 1997;35(3):185-89.
Hullihen SP. Case of Aneurism by Anastomosis of the Superior Maxillare. The American journal of dental Science. 1844;4(3):160-62.
Hartzell MB. Granuloma pyogenicum. J Cutan Dis Syph. 1904;22:520-25.
Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia Oral e Maxilofacial. 3. ed. Rio de Janeiro: Elsevier; 2009. p. 509-66.
Gonçales ES, Damante JH, Fischer Rubira CM, Taveira LAA. Pyogenic granuloma on the upper lip: an unusual location. J Appl Oral Sci. 2010; 18(5):538-41.
Jafarzadeh H, Sanatkhani M, Mohtasham N. Granuloma Piogênico oral: uma revisão. J Oral Sci. 2006;48(4):167-75.
Kang HS, et al. Three Cases of Morsicatio Labiorum. Ann Dermatol. 2012;24(4):455-58.
Min KW, Park CK. Three Cases Report and a Review of the Literature. Korean J Pathol. 2009;43(2):174-76.
Gordón-Nuñez MA, Carvalho MV, Benevenuto TG, Lopes MFF, Silva LMM, Galvão HC. Oral Pyogenic Granuloma: A Retrospective Analysis of 293 Cases in a Brazilian Population. J Oral Maxillofac Surg. 2010;68(9):2185-88.
Vilmann A, Vilmann P, Vilmann H. Pyogenic granuloma: evaluation of oral conditions. Br J Oral Maxillofac Surg. 1986;24(5):376-82.
Ramirez K, Bruce G, Carpinteiro W. Pyogenic granuloma: case report in a 9 year old girl. Gen Dent. 2002;50(3):280-81.
Karthikeya P, Mahima VG, Lahari K. Extragingival pyogenic granuloma. Indian J Dent Res. 2006;17(4):199-202.
Kanda N, Watanabe S. Regulatory roles of sex hormones in cutaneous biology and immunology. J Dermatol Sci. 2005;38(1):1-7.
Silva-Sousa YT, Coelho CM, Brentegani LG, Vieira ML, Oliveira ML. Clinical and histological evaluation of granuloma gravidarum: case report. Braz Dent J. 2000;11(2):135-39.
Ojanotko‐Harri AO, Harri MP, Hurttia HM, Sewoón LA. Altered tissue metabolism of progesterone in pregnancy gingivitis and granuloma. J Clin Periodontol. 1991;18(4):262-66.
Brust AWA, Domingues JEG. Tratamento e proservação de nove meses em um paciente com granuloma piogênico: relato de caso. Rev Odontol UNESP. 2013;38(3):192-97.
Shafer WG, Hine MK, Levy BM. Diseases of the skin. In: Rajendran R. Shafer's Textbook of Oral Pathology. 5. ed. New Delhi: Reed Elsevier India Private Limited; 2006, p. 1103-107.
Bhaskar SN, Jacoway JR. Pyogenic granuloma - clinical features, incidence, histology, and result of treatment: report of 242 cases. J Oral Surg. 1966;24(5):391-98.
White JM, Chaudhry SI, Kudler JJ, Sekandari N, Schoelch ML, Silverman Jr. Nd: YAG and CO 2 laser therapy of oral mucosal lesions. J Clin Laser Med Surg. 1998;16(6):299-304.
Meffert JJ, Cagna DR, Meffert RM. Treatment of oral granulation tissue with the flashlamp pulsed dye laser. Dermatol Surg. 1998;24(8):845-48.
Ishida CE, Ramos-e-Silva M. Cryosurgery in oral lesions. Int J Dermatol. 1998;37(4):283-85.
Moon SE, Hwang EJ, Cho KH. Treatment of pyogenic granuloma by sodium tetradecyl sulfate sclerotherapy. Arch Dermatol. 2005;141(5):644-46.
Ramakrishnan H, Noorullah A, Venugopal L. A Clinical Report of Solitary Gingival Overgrowth in a Young Female Patient. J Pharm Bioallied Sci. 2019;11(2):491-94.
More CB, Bhavsar K, Varma S, Tailor M. Oral mucocele: a clinical and histopathological study. J Oral Maxillofac Pathol JOMFP. 2014;18(1):72.
Rivero ERC, Araújo LMA. Granuloma piogênico: uma análise clínico-histopatológica de 147 casos bucais. RFO-UPF. 1998;3(2):55-61.
Tinoco PJ, Sanalzar N. Pyogenic granuloma vs. lobular capillary hemangioma. Histopathological analysis and epidemiology. Acta Odontol Venez. 1989;27(2-3):13-20.
Fortes TMV. Estudo epidemiológico de lesões proliferativas não neoplásicas da mucosa oral – análise de 20 anos. Cienc Odontol Bras. 2002;5(3):54-61.
Silveira EJD, Oliveira JMB, Galvão HC, Souza EL, Freitas RA. Granuloma piogênico. RGO. 2004;52(1):30-3.
Angelopoulos, AP. Pyogenic granuloma of the oral cavity: statistical analysis of its clinical features. J Oral Surg. 1971;29(12):840-47.
Sternberg SS, Antonioli DA, Carter D, Mills SE, Oberman H. Diagnostic Surgical Pathology. 3. ed. Filadélfia: Lippincot Williams e Wilkins; 1999. p. 169-74.
China ALP, Souza NMD, Amanajás TDA, Pedreira EN. Granuloma piogênico: relato de caso atípico em lábio inferior. Rev para med. 2010;24(3/4).
Carranza FA, Hogan EL. Periodontia clínica. 11. ed. Rio de Janeiro: Elsevier Saunders; 2012; p. 85-97.
Holmstrup P, Reibel J. Diagnóstico diferencial: tumores e cistos do periodonto. In: Lindhe J, Karring T, Lang NP. Tratado de periodontia clínica e implantologia oral. 4. ed. Rio de Janeiro: Guanabara Koogan; 2005. p. 290-308.
Shenoy SS, Dinkar AD. Pyogenic granuloma associated with bone loss in na eight year old child: a case report. J Indian Soc Pedod Prev Dent. 2006;24(4):201-3.
Giblin AV, Clover AJP, Athanassopoulos A, Budny PG. Pyogenic granuloma–the quest for optimum treatment: audit of treatment of 408 cases. J Plast Reconstr Aesthet Surg. 2007;60(9):1030-35.