Management of Lobulated and Non-Lobulated Capillary Haemangioma in a 22-Year-Old Male Patient- A Rare Case Report
Abstract
Pyogenic granuloma (PG), a benign, reactive, vascular exophytic growth occurring in oral cavity with a sessile or pedunculated base. Commonly occurs on gingiva, lip, tongue, buccal mucosa, palate and floor of the mouth. The usual causative agents are calculus, presence of foreign body, although certain drugs and hormonal imbalances precipitate its growth. Difficulty in speech, mastication and compromised aesthetics is encountered when increased in size. Histologically two variants are reported: Lobulated capillary haemangioma (LCH) and non- LCH. LCH shows organised arrangement of lobular aggregates of blood vessels whereas, non-LCH features granulation tissue type without lobular aggregates. The treatment consists of elimination of local irritants with conservative surgical excision. This case report deals with a patient who presented with long standing PG at multiple sites causing him difficulty in mastication leading to inadequate dietary intake which causing undernourishment. The management included elimination of local factors and excision by diode laser.
Keywords
Histology lobulated capillary haemangioma non-lobulated capillary haemangioma laser excision pyogenic granuloma.
References
- 1. Berne JV, Raubenheimer EJ, Jacobs R, Politis C. Clinical and pathological differences between the pyogenic granuloma and lobular capillary hemangioma in the oral cavity: a scoping review. J Stoma 2020; 73; 4:206-216.
- 2. Bamgbose BO, Kaura MA, Atanda AT, Ajayi OF. Lobular capillary hemangioma of the gingiva: Clinical management and a review of literature. Nijer J Basic Clin Sci.2016;13;107-113.
- 3. Varma S, Gangavathi R, Sundaresh KJ, Mallikarjuna R. Lobulated capillary hemangioma: a common lesion in an uncommon site. BMJ Case Rep.2013:1–4.
- 4. Regezi JA, Sciubba JJ, Jordan RC. Oral pathology: clinical pathologic correlations. Elsevier Health Sci, 2012:118-120.
- 5. Seyedmajidi M, Shafaee S, Hashemipour G, Bijani A, Ehsani H. Immunohistochemical Evaluation of Angiogenesis Related Markers in Pyogenic Granuloma of Gingiva. Asian Pac J Cancer Prev. 2015;16:7513-7516.
- 6. Marla V, Shrestha A, Goel K, Shrestha S. The histopathological spectrum of pyogenic granuloma: A case series. Case Rep Dent. 2016; 2016:1323798.
- 7. Kocaman G, Beldüz N, Erdogan C, Ozbek E, Sadik E, Kara C. The use of surgical Nd:YAG laser in an oral pyogenic granuloma: a case report. J Cosmet Laser Ther. 2014;16:197-200.
- 8. Japatti SR, Bhatsange A, Reddy M, Chidambar YS, Patil S, Vhanmane P. Scurvy-scorbutic siderosis of gingiva: A diagnostic challenge - A rare case report. Dent Res J (Isfahan). 2013; 10:394-400.
- 9. Alwan A.H, Zardawi F.M, Gul S.S, Hussain A.A. Prevalence, and distribution of gingival pyogenic granuloma in Sulaimani population-Kurdistan region-Iraq. Biomed Pharmacol J 2018; 11(1).
- 10. Daif ET. Correlation of Age, Sex, and Location with Recurrence of Oral Giant Pyogenic Granuloma After Surgical Excision. J Craniofac Surg. 2016;27:e433-435.
Abstract
Keywords
Histology lobulated capillary haemangioma non-lobulated capillary haemangioma laser excision pyogenic granuloma.
References
- 1. Berne JV, Raubenheimer EJ, Jacobs R, Politis C. Clinical and pathological differences between the pyogenic granuloma and lobular capillary hemangioma in the oral cavity: a scoping review. J Stoma 2020; 73; 4:206-216.
- 2. Bamgbose BO, Kaura MA, Atanda AT, Ajayi OF. Lobular capillary hemangioma of the gingiva: Clinical management and a review of literature. Nijer J Basic Clin Sci.2016;13;107-113.
- 3. Varma S, Gangavathi R, Sundaresh KJ, Mallikarjuna R. Lobulated capillary hemangioma: a common lesion in an uncommon site. BMJ Case Rep.2013:1–4.
- 4. Regezi JA, Sciubba JJ, Jordan RC. Oral pathology: clinical pathologic correlations. Elsevier Health Sci, 2012:118-120.
- 5. Seyedmajidi M, Shafaee S, Hashemipour G, Bijani A, Ehsani H. Immunohistochemical Evaluation of Angiogenesis Related Markers in Pyogenic Granuloma of Gingiva. Asian Pac J Cancer Prev. 2015;16:7513-7516.
- 6. Marla V, Shrestha A, Goel K, Shrestha S. The histopathological spectrum of pyogenic granuloma: A case series. Case Rep Dent. 2016; 2016:1323798.
- 7. Kocaman G, Beldüz N, Erdogan C, Ozbek E, Sadik E, Kara C. The use of surgical Nd:YAG laser in an oral pyogenic granuloma: a case report. J Cosmet Laser Ther. 2014;16:197-200.
- 8. Japatti SR, Bhatsange A, Reddy M, Chidambar YS, Patil S, Vhanmane P. Scurvy-scorbutic siderosis of gingiva: A diagnostic challenge - A rare case report. Dent Res J (Isfahan). 2013; 10:394-400.
- 9. Alwan A.H, Zardawi F.M, Gul S.S, Hussain A.A. Prevalence, and distribution of gingival pyogenic granuloma in Sulaimani population-Kurdistan region-Iraq. Biomed Pharmacol J 2018; 11(1).
- 10. Daif ET. Correlation of Age, Sex, and Location with Recurrence of Oral Giant Pyogenic Granuloma After Surgical Excision. J Craniofac Surg. 2016;27:e433-435.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | February 16, 2024 |
| Submission Date | January 18, 2023 |
| Published in Issue | Year 2024 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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