化脓性肉芽肿(PG)是指在口腔中最常见的获得性良性增生,涉及嘴唇,腭,还有牙龈.该术语具有误导性,因为它是小叶毛细血管血管瘤的一种,而不是感染。它经常复发,但缺乏恶性改变的能力。根据PG所在的位置,一个人可能会感到不适或刺激。PG通常会导致临床医生的鉴别诊断,其中包括毛细血管血管瘤,神经纤维瘤,黑色素瘤,和增生。因此,必须通过临床和组织病理学检查进行诊断和分析来确认PG,和治疗方案应根据评估制定。有时候,可以对病变进行活检以进行最终诊断。各种治疗方法可用,包括传统的手术刀切除,激光,电灼术,还有冷冻疗法.由于恶性肿瘤的可能性,手术切除是优选的,因为它提供了最佳的美容外观,并产生了用于病理评估的标本。在确认所有临床评估参数和常规血液学检查后,证明令人满意,在正常范围内,一例45岁的女性,牙龈来源的软组织生长是通过电灼术治疗的,并通过临床组织病理学检查证实了PG。
Pyogenic granuloma (PG) refers to an acquired benign proliferation most commonly seen within the oral cavity involving lips, palate, and gingiva. The term is misleading since it is a type of lobular capillary haemangioma but not an infection. It frequently recurs but lacks the capacity for malignant alteration. Depending on where the PG is located, one may experience discomfort or irritation. PGs often lead to differential diagnoses by clinicians, which include capillary hemangioma, neurofibroma, melanoma, and hyperplasia. Therefore, one must confirm a PG by diagnosing and analysing it by clinical and histopathological examinations, and treatment options should be formulated according to the evaluation. Sometimes, a biopsy of the lesion can be taken for final diagnosis. Various treatment approaches are available, including conventional scalpel excision, laser, electrocautery, and cryotherapy. Surgical excision is preferable due to the likelihood of malignancy, as it provides the best cosmetic appearance and produces a specimen for pathologic assessment. After confirming all the clinical evaluatory parameters and routine haematological examinations, which proved satisfactory and within normal ranges, this case of a 45-year-old female with soft tissue growth of the gingival origin was managed by electrocautery, and the PG was confirmed by a clinical-histopathological examination.