PALATAL PYOGENIC GRANULOMA IN A 5 MONTHS OLD INFANT: A RARE CASE REPORT

Year 2019, Volume: 29 Issue: 1, 103 - 107, 15.01.2019

Zeynep Aslı Güçlü Zeynep Işık Ahmet Emin Demırbaş

https://doi.org/10.17567/ataunidfd.522802

Abstract

ABSTRACT

Aim:
Previous studies about oral
pathologies indicated wide range of oral lesions may present in pediatric
population. Knowledge of prevelance and clinical features of lesions is
important to accurate diagnosis and proper teratment. The purpose of this case
report is to show uncommon placed lesion at a very early age, as a rare
condition.

Case
Report: A 5-months-old male infant was
reffered to our clinic with a mass on the hard palate which had growed in a
short time period. Clinical examination showed solid, pedunculated, lobulated
nodule that protruded from the palatal gingiva. Surgical treatment was planned
under general anesthesia. Following the excision and histopathological
examination, the diagnosis was confirmed as pyogenic granuloma. The healing was
nearly completed at one week successfully. No recurrence was observed in
one-year follow-up period.

Conclusions: It is important to clinicians be aware of the intraoral
lesions in neonatal period. All clinical features of oral lesions should be
carefully evaluated for correct diagnosis and appropriate treatment planning.

Keywords: Infant, lobular capillary hemangioma, oral pathology, palatina, pyogenic granuloma

NADİR GÖRÜLEN BİR VAKA OLARAK 5 AYLIK BEBEKTE PALATAL PİYOJENİK GRANULOMA

ÖZ

 

Amaç: Oral patolojilerle ilgili daha önce yapılmış
çalışmalar, pediatrik popülasyonda oldukça geniş bir dizi lezyonun ortaya
çıkabileceğini göstermektedir. Oral patolojilerin prevalansının ve klinik
özelliklerinin tanınması doğru teşhis ve uygun bir tedavi planı için önemlidir.
Bu vaka raporunun amacı lokalizasyonu ve yaş döneminin erken oluşu itibariyle
nadir olan bir lezyonu sunmaktır.

Olgu
Sunumu: 5 aylık bir erkek bebek sert
damağında bulunan ve kısa sürede büyüyen kitle nedeniyle kliniğimize
başvurmuştur. Bebeğin klinik muayenesinde, palatal dişetinden büyüyen, sert,
saplı, lobüle bir nodül tespit edildi. Genel anestezi altında cerrahi tedavi
planlandı. Total eksizyon ve histopatolojik incelemenin ardından piyojenik
granüloma tanısı konuldu. Operasyon sonrası iyileşme bir haftada başarıyla
tamamlandı. Cerrahi işlem sonrası 1 yıllık takipte rekürrens gözlenmedi.

Sonuç: Yenidoğan döneminde klinisyenlerin intraoral lezyonlar
hakkında bilgili olması önemlidir. Oral lezyonların tüm özellikleri doğru bir
tanı tedavi planlaması için dikkatle değerlendirilmelidir.

Anahtar Kelimeler: İnfant; lobüler kapiller hemanjiom; oral patoloji; palatina; piyojenik
granülo

Keywords

Infant, lobular capillary hemangioma, oral pathology, palatina

References

• 1. Shanthi M, Thimma RB, Noorjahan M. Oral pyogenic granuloma in a 5 months old infant. Indian J Dent Adv 2013;5:1215-18.
• 2. Sachdeva SK. Extragingival Pyogenic Granuloma: an Unusual Clinical Presentation. J Dent Shiraz Univ Med Sci 2015;16:282-85.
• 3. Willies-Jacobo LJ, Isaacs H, Stein MT. Pyogenic granuloma presenting as a congenital epulis. Arc Pediatr Adolesc Med 2000;154:603-05.
• 4. Avelar RL, Antunes AA, CarvalhoRWFd, Santos TdS, Oliveira NetoPJd, Andrade ESdS. Granuloma piogênico oral: Um estudoepidemiológico de 191 casos. RGO 2008;56:131-35.
• 5. Angelopoulos A. Pyogenic granuloma of the oral cavity: Statistical analysis of its clinical features. J Oral Surg 1971;29:840-47.
• 6. Buchner A, Shnaiderman-Shapiro A, Vered M. Pediatric localized reactive gingival lesions: a retrospective study from israel. Pediatr Dent 2010;32:486-
• 7. Gordón-Núñez MA, de VasconcelosCarvalho M, 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;68:2185-88.
• 8. Mahabob N, Kumar S, Raja S. Palatal pyogenic granulomaa. J Pharm Bioallied Sci 2013;5: 179-81.
• 9. Akyol MU, Yalçiner EG, Doğan AI. Pyogenic granuloma (lobular capillary hemangioma) of the tongue. Int J Pediatr Otorhinolaryngol 2001;58:239-41.
• 10. Jafarzadeh H, Sanatkhani M, Mohtasham N. Oral pyogenic granuloma: a review. J Oral Sci 2006;48:167-75.
• 11. Jurkiewicz BDZ. Rare case of pyogenic granuloma of the tongue in an 8-week-old infant. Eur Arch Otorhinolaryngol 2005;262:453-55.
• 12. American Academy of Pediatric Dentistry: Guideline on management considerations for pediatric oral surgery and oral pathology. Pediatr Dent 2015; 37: 85-94.
• 13. Jones A, Franklin C. An analysis of oral and maxillofacial pathology found in children over a 30 year period. Int J Paediatr Dent 2006;16:19-30.
• 14. Çetinkaya M, Öz FT, Orhan AI, Orhan K, Karabulut B, Can Karabulut DC, İlk Ö. Prevalence of oral abnormalities in a Turkish newborn population. Int Dent J 2011;61:90-100.
• 15. Mohammadzadeh A, Mokhtari N. Oral Lesions at Birth. Iran J Otorhinolaryngol 2005;17:37.
• 16. Van Heerden WF, Van Zyl AW. Diagnosis and management of oral lesions and conditions in the newborn. SA Fam Pract 2010;52:489-91.
• 17. Mouchrek MMM, Gonçalves LM, Bezerra-Júnior JRS, Maia EdCS, Silva RAd, Cruz MCF. Oral and maxillofacial biopsied lesions in Brazilian pediatric patients: a 16-year retrospective study. Rev Odonto Cienc 2011;26:222-26.
• 18. Amirchaghmaghi M, Falaki F, Mohtasham N, Mozafari PM. Extragingival pyogenic granuloma: a case report. Cases J 2008;1:371.
• 19. Karacay S, Ekici ID, Erdag GC, Bilgen S, Sozubir S, Vitrinel A. Pyogenic granuloma: a rare case of an infantile intraoral lesion. Ann Pediatr Surg 2012;8:93-4.
• 20. Ege DB, Demirkol DM, Ham DAKDM. Palatinal yerleşimli oral piyojenik granüloma: olgu sunumu. Atatürk Üniv Diş Hek Fak Derg 2013; 13:20-3.