Ömer Tarık SELÇUK, Behcet GÜNSOY, Ceren Ersöz ÜNLÜ

Geriatrik iki hastada maligniteyi taklit eden oral piyojenik granülom

Piyojenik granülom, travmaya sekonder gelişen benign yapıda vasküler lezyondur. Mukoza ve ciltte sıklıkla görülür. Sıklıkla gingivada yerleşim gösterir ve yaşamın ikinci ve üçüncü dekatlarında görülmektedir. 65 yaşındaki erkek hastada, son 4 aydır büyüme gösteren sublingual kitle ve 87 yaşındaki bayan hastada sol bukkal mukozada vejetan kitle saptandı. Kitleler cerrahi sınırlarla birlikte total eksize ve uygun şekilde rekonstrükte edildi. Her iki hastada da postoperatif patoloji sonucu, piyojenik granülom olarak raporlandı. Oral kavite yerleşimli bu iki geriatrik piyojenik granülom olgusu; geriatrik hastalarda malign lezyonlarla karışabilmesi nedeni ile güncel literatür eşliğinde sunulmuştur.

Oral pyogenic granuloma that mimics malignancy in two geriatric patients

Pyogenic granuloma is a benign vascular lesion which occurs secondary to trauma. It is frequently seen on mucosa and skin. It is mostly localized on gingiva, and occurs at second and third decades of life. 65 year-old male presenting with a sublingual mass growing for four months, and 87 year-old female presenting with a mass localized on left buccal mucosa were examined. Lesions were totally excised with surgical borders and reconstructed properly. Postoperative histopathologic results were reported as pyogenic granuloma. Pyogenic granulomas can look like malign lesions in geriatric patients. For this reason we report two cases of oral pyogenic granuloma in geriatric patients with oral with a review of current literature.

PDF

___

1. Das Chagas MS, Pinheiro Rdos S, Janini ME, Maia LC. Pyogenic granuloma: lobular capillary hemangioma in the upper lip of a 24-month-old child: case report. J Dent Child 2009; 76: 237-40.
2. Gonçales ES, Damante JH, Fischer Rubira CM, Taveira LAA. Pyogenic granuloma on the upper lip: an unusual location. J Appl Oral Sci 2010; 18: 538-41.
3. Güngör S, Soley L, Kartal R, Çandır Ö, Yöndemli F. Oral kavitede lokalize pyojenik granülomlar. SDÜ Tıp Fakültesi Dergisi 1997; 4: 29-32.
4. Dominguez-Cherit J, Puebla-Miranda M, Rangel-Gamboa L, Roldan-Marin R. Giant gravidarum granuloma of the scalp. Gac Med Mex 2006; 142: 411-3.
5. de Giorgi V, Setsini S, Nardini P, Carli P. A 42-year-old man with a rapidly growing lesion of the soft palate. CMAJ 2005; 173: 367.
6. Parisi E, Glick PH, Glick M. Recurrent intraoral pyogenic granuloma with satellitosis treated with corticosteroids. Oral Dis 2006; 12: 70-2.
7. Sills ES, Zegarelli DJ, Hoschander MM, Strider WE. Clinical diagnosis and management of hormonally responsive oral pregnancy tumor (pyogenic granuloma) J Reprod Med 1996; 41: 467-70.
8. Zabollos P, Llambrich A, Cuellar F, Puig S, Malvehy J, Dermoscopic findings in pyogenic granuloma. Br J Dermatol 2006; 154: 1108-11.
9. Jurkiewicz ZB, Rare case of pyogenic granuloma of the tongue in 8 week old child. Otolaryngol Pol 2005; 59: 755-8.
10. Jafarzadeh H, Sanatkhani M, Mohtasham N. Oral pyogenic granuloma: a review. Journal of Oral Science 2006; 48: 167-75.
11. Fanburg-Smith JC, Furlong MA, Childers EL. Oral and salivary gland angiosarcoma: a clinicopathologic study of 29 cases. Mod Pathol 2003; 16: 263-71.
12. Kobler P, Borcic J, Filipovic Zore I, Nola M, Sertic D. Primary non-Hodgkin's lymphoma of the oral cavity. Oral Oncology Extra 2005; 41: 12-4.
13. Buddula A. A case report of metastatic adenocarcinoma of the gingiva. J Indian Soc Periodontal 2009; 13: 55-7.
14. Hirshberg A, Buchner A. Metastatic tumors to the oral region: An overview. Eur J Cancer B Oral Oncol Br 1995; 31: 355-60.
15. Hashemi Pour MS. Malignant melanoma of the oral cavity: a review of literature. Indian J Dent Res 2008; 19: 47-51.
16. Powell JL, Bailey CL, Coopland AT, Otis CN, Frank JL, Meyer I. Nd:YAG laser excision of a giant gingival pyogenic granuloma of pregnancy. Lasers Surg Med 1994; 14: 178-83.
17. White JM, Chaudhry SI, Kudler JJ, Sekandari N, Schoelch ML, Silvermann S Jr. Nd:YAG and CO2 laser therapy of oral mucosal lesions. J Clin Laser Med Surg 1998; 16: 299-304.
18. Ishida CE, Ramos-e-Silva M. Cryosurgery in oral lesions. Int J Dermatol 1998; 37: 283-5.
19. Ichimiya M, Yoshikawa Y, Hamamato Y, Muto M. Successful treatmentof pyogenic granuloma with injection of absolute ethanol. J Dermatol 2004; 31: 342-4.