PDF(Pubmed)
Abstract：
Pyogenic granuloma (PG) is a reactive connective tissue disorder with female predilection, which exhibits a tumor-like mass with occasional bleeding and superficial ulceration. It most commonly occurs in the maxillary gingiva followed by the mandibular gingiva. It can also occur in extra gingival sites like buccal mucosa, labial mucosa, and palate. There are two histopathological types of PG, namely, a lobular capillary hemangioma (LCH) variant and a non-LCH variant. The various management methods include surgical resection or laser excision along with deep curettage, and there are various nonsurgical methods like local steroid injection, topical administration of various drugs, and sclerotherapy. During the surgical excision, there is a risk of bleeding, and the surgeon should be equipped for the same. The PG (both LCH and non-LCH variant) has an increased chance of recurrence because of which complete excision is mandatory along with the removal of the local irritants. In this case report, a 28-year-old female patient reported recurrent painless swelling in the lower front gums for the past nine months. The surgical excision was done in-toto along with the removal of local irritants (calculus). The swelling was sent for histopathological examination. The patient was kept on regular follow-ups. The patient was followed up continuously for nine months. The swelling did not recur after the excision. Hence, it was concluded that complete excision and removal of local irritants are extremely crucial to prevent a recurrence.
摘要：
化脓性肉芽肿（PG）是一种女性好发的反应性结缔组织疾病，表现为肿瘤样肿块，偶尔出血和浅表溃疡。它最常见于上颌牙龈，其次是下颌牙龈。它也可以发生在额外的牙龈部位，如颊粘膜，唇粘膜，和味觉。有两种组织病理学类型的PG,即,小叶毛细血管瘤（LCH）变体和非LCH变体。各种管理方法包括手术切除或激光切除以及深层刮治，有各种非手术方法，比如局部注射类固醇，各种药物的局部给药，和硬化疗法.在手术切除期间，有出血的危险,外科医生也应该有同样的装备。PG（LCH和非LCH变体）的复发机会增加，因为必须进行完全切除以及去除局部刺激物。在这个案例报告中,一名28岁女性患者在过去9个月中报告前下牙龈无痛性肿胀复发.手术切除与去除局部刺激物（结石）同时进行。肿胀被送去组织病理学检查。患者定期随访。患者连续随访9个月。切除后肿胀没有复发。因此，结论是，完全切除和去除局部刺激物对于防止复发至关重要。
