Oral Pyogenıc Granuloma Located Palatally : A Case Report

Öz

Pyogenic granuloma is a benign soft tissue tumor of the mucous membrane and skin occurring in response to a variety of stimuli such as traumatic injury, local irritation or hormonal factors. It can occur on the lips, tongue, palatal and buccal mucosa in the oral cavity; but commonly found in gingiva. In this case report, we presented 56-year-old male patient with oral lesion that arise as a result of sinking of a hard foodstuff to the palatal mucosa and irritated the same region. Surgical excision is the choice of treatment. During the control of postoperative 6 th month, there was no recurrence or complication.

Anahtar Kelimeler

• Pyogenic granuloma, Trauma, Local irritation.

Palatinal Yerleşimli Oral Piyojenik Granüloma: Olgu Sunumu

Öz

Piyojenik granüloma (PG); travmatik yaralanma, kronik ve düşük seviyeli lokal irritasyon veya hormonal faktörlere bağlı olarak gelişebilen, deri ve müköz membranın benign bir yumuşak doku tümörüdür.Ağız içerisinde dişeti, dudak, dil, palatinal ve bukkal mukozada görülebilen PG‘ ye en sık olarak dişetinde rastlanmaktadır. Bu vaka raporunda; 56 yaşında erkek hastada sol üst çene posterior bölgede palatinal mukozaya sert bir gıda maddesinin batması ve takibinde hasta tarafından bölgenin travmatize edilmesi sonucu oluşan piyojenik granuloma vakası ve cerrahi tedavisinin sunulması amaçlanmıştır. Postoperatif 6. ay kontrolü yapılan hastada herhangi bir nüks veya komplikasyon ile karşılaşılmamıştır.

Anahtar Kelimeler

• Piyojenik granüloma, Travma, Lokal irritasyon.

Kaynakça

1. Jafarzadeh H, Sanatkhani M, Mohtasham N. Oral pyogenic granuloma: a review. J Oral Sci 2006;48:167–75.
2. Al-Khateeb T, Ababneh K. Oral pyogenic granuloma in Jordanians: a retrospective analysis of 108 cases. J Oral Maxillofac Surg 2003;61:1285-8.
3. Ozbayrak S. Ağız Hastalıkları Atlası Tanı kriterleri, Ayırıcı Tanı ve Tedavi Yaklaşımları. 1 ed. Istanbul; Quintessence Yayınevi: 2003, 196.
4. Sills ES,Zegarelli DJ, Hoschander MM, Strider WE. Clinical diagnosis and management of hormonally responsive oral pregnancy tumor (pyogenic granuloma). J Reprod Med 1996;41:467-70.
5. Bhaskar SN, Jacoway JR. Pyogenic granuloma-clinical features, incidence, histology, and result of treatment: report of 242 cases. J Oral Surg 1966;24:391-8.
6. De Giorgi V, Setsini S, Nardini P, Carli P. A 42year-old man with a rapidly growing lesion of the soft palate. CMAJ 2005;173:367.
7. Saravana GHL. Oral pyogenic granuloma. A review of 137 cases. Br J Oral Maxillofac Surg 2009;47:318–9.
8. Gordón-Nşñez MA, de Vasconcelos Carvalho M, Benevenuto TG, Lopes MF, Silva LM, Galvão HC. Oral pyogenic granuloma: a retrospective analysis of 293 cases in a Brazilian population. J Oral Maxillofac Surg 2010;68:2185-8.

9. Miettinen M, Weiss SW. Soft tissue tumors. In: Anderson’s Pathology. 10 ed. St. Louis; Mosby: 19 p. 2480-530.
10. Sheehan DJ, Lesher JL Jr. Pyogenic granuloma arising within a port-wine stain. Cutis 2004;73: 175Jaferzadeh H, Sanatkhoni M. Regression of a lesion resembling pyogenic granuloma after endodontic treatment. Aust Endod J 2007;33:32
11. Kurt A. İntraoral Fokal Reaktif Lezyonların Histopatolojik Analizi. J Dent Fac Atatürk Uni 2011;21:226-30.
12. Ichimiya M, Yoshikawa Y, Hamamoto Y, Muto M. Succesful treatment of pyogenic granuloma with injection of absolute ethanol. J Dermatol 2004;31:342-4.
13. Moon SE, Hwang EJ, Cho KH. Treatment of pyogenic granuloma by sodium tetradecyl sulfate sclerotherapy. Arch Dermatol 2005;141:644-6.
14. Zain RB, Khoo SP, Yeo JF: Oral pyogenic granuloma (excluding pregnancy tumor)--a clinical analysis of 304 cases. Singapore Dent J 1995;20:8-10.
15. Krishnapillai R, Punnoose K, Angadi PV, Koneru A. Oral pyogenic granuloma-a review of 215 cases in a South Indian Teaching Hospital, Karnataka, over a period of 20 years. Oral Maxillofac Surg 2012;16:305-9. Yazışma Adresi Dt. Bilal EGE
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