Lobular capillary haemangioma on gingiva: A case report

Pyogenic granuloma is one of the inflammatory hyperplasias affecting the oral mucosa. It is common tumor-like growth of oral mucosa or skin that is considered to be non-neoplastic. The term pyogenic granuloma may be a misnomer because the lesion is unrelated to infection and it arises from local irritation or traumatic injury. It is not related to pus as its name suggests and histologically resembles to angiomatous lesion. It includes fibrous inflammatory dysplasia (fibroma, epulis fissuratum, pulp polyp), palatal papillary hyperplasia, giant cell granuloma and pregnancy epulis. Its occurence in young female patients especially in second decade of life suggests that hormonal imbalance may play role in its pathogenesis. Clinically it appears as a lobulated, sessile or pedunculated, exophytic growth with surface color ranging from red to purple. Surgical excision is a line of treatment, while other treatment modalities includes Nd: YAG optical laser, electrodessication, intralesional injection of alcohol or steroids, sodium tetradecyl sulphate sclerotherapy.