A DİAGNOSTİC CHALLENGE- CAPİLLARY HAMANGİOMA OR GRANULOMA GRAVİDARUM: A CASE REPORT


Stevanovıc Sancar B., Rasat A., Günen Yılmaz S.

XVIII European Congress of Dentomaxillofacial Radiology, Lublin, Poland, 8 - 10 June 2022, pp.63

  • Publication Type: Conference Paper / Summary Text
  • City: Lublin
  • Country: Poland
  • Page Numbers: pp.63
  • Akdeniz University Affiliated: Yes

Abstract

Aim: Granuloma gravidarum, is pyogenic granuloma that develops during pregnancy. It is defined as reactive vascular

hyperplasia of pregnancy. This benign rapidly growing lesion develops in the oral mucosa in response to chronic lowgrade

irritants and hormonal factors. On the other hand, although hemangioma is considered one of the most common

soft tissue tumors of the head, it’s rare in oral cavity.We aimed to present the case of a 25-year-old femalepatient in the

postpartum period who was admitted with tumor-like growthof gingiva whichwasclinically diagnosed as a granuloma

gravidarum and histopathologically as a capillary hemangioma.

Material and methods: Intraoral examination revealed a light red, bright, stalked lesion with shape consistent with

tongue movements on the lingual gum in the lower left premolar and molar region which is bleeding on provocation.

The gum was firm and not sensitive.İt was made preliminary diagnosis of granuloma gravidarum.

Results: A gingival biopsy was taken from the lesion and sent to pathology . After histopathological evaluation, the

lesion was diagnosed as capillary hemangioma. Due to the fact that the clinical and histopathological diagnosis did not

match, a more detailed pathological examination was requested. The diagnosis of lobular capillary hemangioma

(pyogenic granuloma) was made and the clinical diagnosis was confirmed.

Conclusion: Capillary hemangiomas rarely occur in the gingival region and, as in our case, can easily be confused with

different lesions, in particular, pyogenic granuloma. A multidisciplinary approach is required, including anamnesis,

clinical and histopathological examination