Mandibular Gingival Pyogenic Granuloma Spreading to Chin Region: a Case Report

Andri Hardianto; Wilson Wijaya; Winarno Priyanto

doi:10.18196/di.v12i2.18916

Mandibular Gingival Pyogenic Granuloma Spreading to Chin Region: a Case Report

Andri Hardianto, Wilson Wijaya, Winarno Priyanto

Abstract

Vascular lesions tumors at the maxillo-facial area could be divided into malformations and tumors. Furthermore, vascular tumors are separated into malignant and benign tumors. Benign vascular tumor such as pyogenic granuloma usually only manifests at the gingiva or oral mucosa region. Few studies have reported extensive-sized facial pyogenic granuloma. This case reports a substantial pyogenic granuloma from the mandibular gingiva down to the chin region. In this case report, we presented a 25-year-old female patient with mastication and esthetic disturbance due to a vascular tumor in her mandibular region. Through thorough examination, a benign vascular lesion was diagnosed pre-operatively. The patient was treated with excisional biopsy and primary closure under general anaesthesia followed by anatomical pathology examination with the result of pyogenic granuloma, resulting in satisfying functional and esthetical outcomes. Patients with vascular lesions need well-executed diagnoses and treatment to achieve favourable anatomic and functional outcomes and preserve their quality of life.

Keywords

benign vascular tumor; pyogenic granuloma; vascular lesion; vascular tumor

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References

Hoff SR, Rastatter JC, Richter GT. Head and Neck Vascular Lesions. Otolaryngologic Clinics of North America [Internet]. 2015 Feb;48(1):29–45. Available from: http://dx.doi.org/10.1016/j.otc.2014.09.004

Wassef M, Blei F, Adams D, Alomari A, Baselga E, Berenstein A, et al. Vascular Anomalies Classification: Recommendations From the International Society for the Study of Vascular Anomalies. Pediatrics [Internet]. 2015 Jul 1;136(1):e203–14. Available from: http://dx.doi.org/10.1542/peds.2014-3673

Nair SC. Vascular Anomalies of the Head and Neck Region. Journal of Maxillofacial and Oral Surgery [Internet]. 2018 Jan 5;17(1):1–12. Available from: http://dx.doi.org/10.1007/s12663-017-1063-2

Brahmbhatt AN, Skalski KA, Bhatt AA. Vascular lesions of the head and neck: an update on classification and imaging review. Insights into Imaging [Internet]. 2020 Feb 7;11(1). Available from: http://dx.doi.org/10.1186/s13244-019-0818-3

Rana R, Ramachandra SS, Prasad UC, et al. Recurrent pyogenic granuloma with a satellite lesion. Cutis 2015; 96: E27-30.

Kumar S, Kumar V, Kumar S, Kumar S. Management strategy for facial venous malformations. National Journal of Maxillofacial Surgery [Internet]. 2014;5(1):93. Available from: http://dx.doi.org/10.4103/0975-5950.140188

Cooper PH, McAllister HA, Helwig EB. Intravenous pyogenic granuloma. The American Journal of Surgical Pathology [Internet]. 1979 Jun;3(3):221–8. Available from: http://dx.doi.org/10.1097/00000478-197906000-00004

Blaya E, Vento V, Kuntz S, Bruyns L, Ohana M, Weingertner N, et al. Intravenous Lobular Capillary Haemangioma (Pyogenic Granuloma) of the Superior Vena Cava: Case Report and Literature Review. EJVES Vascular Forum [Internet]. 2021;50:32–6. Available from: http://dx.doi.org/10.1016/j.ejvsvf.2020.12.021

Fowell C, Verea Linares C, Jones R, Nishikawa H, Monaghan A. Venous malformations of the head and neck: current concepts in management. British Journal of Oral and Maxillofacial Surgery [Internet]. 2017 Jan;55(1):3–9. Available from: http://dx.doi.org/10.1016/j.bjoms.2016.10.023

Colletti G, Frigerio A, Giovanditto F, Biglioli F, Chiapasco M, Grimmer JF. Surgical Treatment of Vascular Malformations of the Facial Bones. Journal of Oral and Maxillofacial Surgery [Internet]. 2014 Jul;72(7):1326.e1-1326.e18. Available from: http://dx.doi.org/10.1016/j.joms.2014.02.012

Alsuwailem A, Myer CM, Chaudry G. Vascular anomalies of the head and neck. Seminars in Pediatric Surgery [Internet]. 2020 Oct;29(5):150968. Available from: http://dx.doi.org/10.1016/j.sempedsurg.2020.150968

Syed N. Vascular lesions of head and neck: A literature review. Indian Journal of Dental Sciences [Internet]. 2016;8(3):176. Available from: http://dx.doi.org/10.4103/0976-4003.191726

Ghalayani P, Hajisadeghi S, Babadi F. Extragingival pyogenic granuloma associated with medication: Report of an unusual case. Dent Res J (Isfahan) 2014; 11: 400–404.

Guneyli S, Ceylan N, Bayraktaroglu S, Acar T, Savas R. Imaging findings of vascular lesions in the head and neck. Diagnostic and Interventional Radiology [Internet]. 2014 Aug 26;20(5):432–7. Available from: http://dx.doi.org/10.5152/dir.2014.14004

Rastogi K, Singh L, Khan NA, Goyal S, Khatri A, Gupta N. Benign vascular anomalies: A transition from morphological to etiological classification. Annals of Diagnostic Pathology [Internet]. 2020 Jun;46:151506. Available from: http://dx.doi.org/10.1016/j.anndiagpath.2020.151506

Miller DD, Gupta A. Histopathology of vascular anomalies: update based on the revised 2014 ISSVA classification. Seminars in Cutaneous Medicine and Surgery [Internet]. 2016 Sep;35(3):137–46. Available from: http://dx.doi.org/10.12788/j.sder.2016.053

Sachdeva SK. Extragingival Pyogenic Granuloma: an Unusual Clinical Presentation. J Dent (Shiraz) 2015; 16: 282–285.

Shetty AK, Wadkar P. Multiple Pyogenic Granulomas: A Case Report. Advances in Human Biology 2015; 5: 60.

Wollina U, Langner D, França K, Gianfaldoni S, Lotti T, Tchernev G. Pyogenic Granuloma – A Common Benign Vascular Tumor with Variable Clinical Presentation: New Findings and Treatment Options. Open Access Macedonian Journal of Medical Sciences [Internet]. 2017 Jul 19;5(4):423–6. Available from: http://dx.doi.org/10.3889/oamjms.2017.111

Park H, Kim JS, Park H, Kim JY, Huh S, Lee JM, et al. Venous malformations of the head and neck: A retrospective review of 82 cases. Archives of Plastic Surgery [Internet]. 2019 Jan;46(01):23–33. Available from: http://dx.doi.org/10.5999/aps.2018.00458

DOI: https://doi.org/10.18196/di.v12i2.18916