Malignant Neoplasm of the Tongue Mimicking an Oral Pyogenic Granuloma: A Case Report
Pyogenic Granuloma (PG) is a benign reactive lesion characterised by tissue hyperplasia caused by local irritants. The gingiva is the most common site of occurrence in the oral cavity, followed by the tongue and buccal mucosa. It typically presents as a pedunculated or sessile mass. Removal of the i...
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| Format: | Article |
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JCDR Research and Publications Private Limited
2023-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/18732/65039_CE[Ra1]_F[KR]_QC(SHK_RDW_IS)_PF1(AKA_SHU)_PFA(AKA_KM)_PN(KM).pdf |
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| author | Ajit Chandrasekhar Saurabh Kumar Rabin Chacko Arun Paul Charlu |
| author_facet | Ajit Chandrasekhar Saurabh Kumar Rabin Chacko Arun Paul Charlu |
| author_sort | Ajit Chandrasekhar |
| collection | DOAJ |
| description | Pyogenic Granuloma (PG) is a benign reactive lesion characterised by tissue hyperplasia caused by local irritants. The gingiva is the most common site of occurrence in the oral cavity, followed by the tongue and buccal mucosa. It typically presents as a pedunculated or sessile mass. Removal of the irritants and complete excision of the lesion from its base usually results in complete
resolution. In this case report, the authors present the case of a 44-year-old female patient, who presented to maxillofacial surgeons With complaints of difficulty in eating and speaking due to a large growth on her tongue that had been present for the past year. The mass, which was non-tender and non-indurated, nearly filled the oral cavity. Routine medical examination revealed iron deficiency anaemia, and systemic correction was initiated. Concurrently, the patient underwent surgical excision of the mass, which was initially diagnosed as a PG, under local anaesthesia. However, the final biopsy revealed poorly differentiated Squamous Cell Carcinoma (SCC). Subsequent radiological investigations revealed extensive local and regional disease spread with metastasis to the upper chest wall. As a result, the patient was advised palliative care by the Institution’s head and neck tumour oncology board. |
| first_indexed | 2024-03-09T13:59:17Z |
| format | Article |
| id | doaj.art-b446d16ca64c41578240fe7454826afd |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-09T13:59:17Z |
| publishDate | 2023-11-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-b446d16ca64c41578240fe7454826afd2023-11-30T11:35:41ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-11-011711151810.7860/JCDR/2023/65039.18732Malignant Neoplasm of the Tongue Mimicking an Oral Pyogenic Granuloma: A Case ReportAjit Chandrasekhar0Saurabh Kumar1Rabin Chacko2Arun Paul Charlu3Post Doctoral Fellow, Department of Oral and Maxillofacial Services, Dental and Oral Surgery I, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.Associate Professor, Department of Oral and Maxillofacial Services, Dental and Oral Surgery I, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.Professor, Department of Oral and Maxillofacial Services, Dental and Oral Surgery I, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.Professor, Department of Oral and Maxillofacial Services, Dental and Oral Surgery I, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.Pyogenic Granuloma (PG) is a benign reactive lesion characterised by tissue hyperplasia caused by local irritants. The gingiva is the most common site of occurrence in the oral cavity, followed by the tongue and buccal mucosa. It typically presents as a pedunculated or sessile mass. Removal of the irritants and complete excision of the lesion from its base usually results in complete resolution. In this case report, the authors present the case of a 44-year-old female patient, who presented to maxillofacial surgeons With complaints of difficulty in eating and speaking due to a large growth on her tongue that had been present for the past year. The mass, which was non-tender and non-indurated, nearly filled the oral cavity. Routine medical examination revealed iron deficiency anaemia, and systemic correction was initiated. Concurrently, the patient underwent surgical excision of the mass, which was initially diagnosed as a PG, under local anaesthesia. However, the final biopsy revealed poorly differentiated Squamous Cell Carcinoma (SCC). Subsequent radiological investigations revealed extensive local and regional disease spread with metastasis to the upper chest wall. As a result, the patient was advised palliative care by the Institution’s head and neck tumour oncology board.https://www.jcdr.net/articles/PDF/18732/65039_CE[Ra1]_F[KR]_QC(SHK_RDW_IS)_PF1(AKA_SHU)_PFA(AKA_KM)_PN(KM).pdfbiopsygingivapedunculatedsquamous cell carcinoma |
| spellingShingle | Ajit Chandrasekhar Saurabh Kumar Rabin Chacko Arun Paul Charlu Malignant Neoplasm of the Tongue Mimicking an Oral Pyogenic Granuloma: A Case Report Journal of Clinical and Diagnostic Research biopsy gingiva pedunculated squamous cell carcinoma |
| title | Malignant Neoplasm of the Tongue Mimicking an Oral Pyogenic Granuloma: A Case Report |
| title_full | Malignant Neoplasm of the Tongue Mimicking an Oral Pyogenic Granuloma: A Case Report |
| title_fullStr | Malignant Neoplasm of the Tongue Mimicking an Oral Pyogenic Granuloma: A Case Report |
| title_full_unstemmed | Malignant Neoplasm of the Tongue Mimicking an Oral Pyogenic Granuloma: A Case Report |
| title_short | Malignant Neoplasm of the Tongue Mimicking an Oral Pyogenic Granuloma: A Case Report |
| title_sort | malignant neoplasm of the tongue mimicking an oral pyogenic granuloma a case report |
| topic | biopsy gingiva pedunculated squamous cell carcinoma |
| url | https://www.jcdr.net/articles/PDF/18732/65039_CE[Ra1]_F[KR]_QC(SHK_RDW_IS)_PF1(AKA_SHU)_PFA(AKA_KM)_PN(KM).pdf |
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