An aggressive pyogenic granuloma masquerading as a vascular neoplasm
Pyogenic granuloma (PG) is a benign lesion, with a female predilection, commonly associated with local irritation or trauma. We report an unusual, destructive case of PG, displaying excessive loss of blood and destruction of alveolar bone leading to the loss of maxillary anterior teeth in an 18-year...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Indian Society of Periodontology |
| Subjects: | |
| Online Access: | http://www.jisponline.com/article.asp?issn=0972-124X;year=2020;volume=24;issue=3;spage=276;epage=279;aulast=Shetty |
| _version_ | 1818096989848469504 |
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| author | Shravya Jaganath Shetty Kaveri Hallikeri Venkatesh Anehosur Anil Desai |
| author_facet | Shravya Jaganath Shetty Kaveri Hallikeri Venkatesh Anehosur Anil Desai |
| author_sort | Shravya Jaganath Shetty |
| collection | DOAJ |
| description | Pyogenic granuloma (PG) is a benign lesion, with a female predilection, commonly associated with local irritation or trauma. We report an unusual, destructive case of PG, displaying excessive loss of blood and destruction of alveolar bone leading to the loss of maxillary anterior teeth in an 18-year-old female, compromising function and esthetics. The incisional and excisional biopsy specimen of this recurrent lesion obtained during a 5-year span was studied, which revealed an increase in vascularity and extensive proliferation of endothelial cells admixed with varying degree of inflammatory cell infiltrate. The clinical, radiographic, and histopathological diagnostic tools enabled to precisely diagnose the lesion as an aggressive variant of PG, distinguishing it from other vascular neoplasms. No recurrence has been noted during a 5-year follow-up. The clinicians should be aware of the aggressive and destructive clinical behavior of PG to avoid the inadvertent treatment of this reactive lesion. |
| first_indexed | 2024-12-10T23:13:23Z |
| format | Article |
| id | doaj.art-f773206bd8c1439281ceecc0f0b2d6e4 |
| institution | Directory Open Access Journal |
| issn | 0972-124X |
| language | English |
| last_indexed | 2024-12-10T23:13:23Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Society of Periodontology |
| spelling | doaj.art-f773206bd8c1439281ceecc0f0b2d6e42022-12-22T01:29:54ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X2020-01-0124327627910.4103/jisp.jisp_459_19An aggressive pyogenic granuloma masquerading as a vascular neoplasmShravya Jaganath ShettyKaveri HallikeriVenkatesh AnehosurAnil DesaiPyogenic granuloma (PG) is a benign lesion, with a female predilection, commonly associated with local irritation or trauma. We report an unusual, destructive case of PG, displaying excessive loss of blood and destruction of alveolar bone leading to the loss of maxillary anterior teeth in an 18-year-old female, compromising function and esthetics. The incisional and excisional biopsy specimen of this recurrent lesion obtained during a 5-year span was studied, which revealed an increase in vascularity and extensive proliferation of endothelial cells admixed with varying degree of inflammatory cell infiltrate. The clinical, radiographic, and histopathological diagnostic tools enabled to precisely diagnose the lesion as an aggressive variant of PG, distinguishing it from other vascular neoplasms. No recurrence has been noted during a 5-year follow-up. The clinicians should be aware of the aggressive and destructive clinical behavior of PG to avoid the inadvertent treatment of this reactive lesion.http://www.jisponline.com/article.asp?issn=0972-124X;year=2020;volume=24;issue=3;spage=276;epage=279;aulast=Shettyaggressivepyogenic granulomarecurrentvascular neoplasm |
| spellingShingle | Shravya Jaganath Shetty Kaveri Hallikeri Venkatesh Anehosur Anil Desai An aggressive pyogenic granuloma masquerading as a vascular neoplasm Journal of Indian Society of Periodontology aggressive pyogenic granuloma recurrent vascular neoplasm |
| title | An aggressive pyogenic granuloma masquerading as a vascular neoplasm |
| title_full | An aggressive pyogenic granuloma masquerading as a vascular neoplasm |
| title_fullStr | An aggressive pyogenic granuloma masquerading as a vascular neoplasm |
| title_full_unstemmed | An aggressive pyogenic granuloma masquerading as a vascular neoplasm |
| title_short | An aggressive pyogenic granuloma masquerading as a vascular neoplasm |
| title_sort | aggressive pyogenic granuloma masquerading as a vascular neoplasm |
| topic | aggressive pyogenic granuloma recurrent vascular neoplasm |
| url | http://www.jisponline.com/article.asp?issn=0972-124X;year=2020;volume=24;issue=3;spage=276;epage=279;aulast=Shetty |
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