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Case Reports
. 2023 Jul 19;15(7):e42157.
doi: 10.7759/cureus.42157. eCollection 2023 Jul.

Lobular Capillary Hemangioma Masquerading as Pyogenic Granuloma of Anterior Mandible: A Case Report

C V Srinivedha  1 , Dr Saurabh Simre  1 , Abiskar Basnet  1 , Sameer Pandey  2 , Ashi Chug  1
Affiliations
Case Reports

Lobular Capillary Hemangioma Masquerading as Pyogenic Granuloma of Anterior Mandible: A Case Report

C V Srinivedha et al. Cureus. .

Abstract

Pyogenic granuloma (PG) is a reactive connective tissue disorder with female predilection, which exhibits a tumor-like mass with occasional bleeding and superficial ulceration. It most commonly occurs in the maxillary gingiva followed by the mandibular gingiva. It can also occur in extra gingival sites like buccal mucosa, labial mucosa, and palate. There are two histopathological types of PG, namely, a lobular capillary hemangioma (LCH) variant and a non-LCH variant. The various management methods include surgical resection or laser excision along with deep curettage, and there are various nonsurgical methods like local steroid injection, topical administration of various drugs, and sclerotherapy. During the surgical excision, there is a risk of bleeding, and the surgeon should be equipped for the same. The PG (both LCH and non-LCH variant) has an increased chance of recurrence because of which complete excision is mandatory along with the removal of the local irritants. In this case report, a 28-year-old female patient reported recurrent painless swelling in the lower front gums for the past nine months. The surgical excision was done in-toto along with the removal of local irritants (calculus). The swelling was sent for histopathological examination. The patient was kept on regular follow-ups. The patient was followed up continuously for nine months. The swelling did not recur after the excision. Hence, it was concluded that complete excision and removal of local irritants are extremely crucial to prevent a recurrence.

Keywords: gingiva; lch; lobular capillary hemangioma; pyogenic granuloma; recurrent.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Preoperative picture of the patient
(a) Swelling observed in the buccal gingiva between 32 and 33 and (b) swelling observed in the lingual gingiva between 32 and 33.
Figure 2
Figure 2. Panoramic radiograph of the patient
The panoramic radiograph shows complete permanent dentition with no bone loss.
Figure 3
Figure 3. Histopathological pictures
(a) Low-power view (20X) shows the lesion comprised of dilated congested thin-walled vessels and (b) high-power view showing ectatic blood vessels with a single lining of endothelial cells and lumen filled with red blood cells.
Figure 4
Figure 4. Postoperative pictures
This image shows the complete resolution of the swelling with no recurrence for nine months.
See this image and copyright information in PMC

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