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Case Reports
. 2023 Jul-Sep;27(3):605.
doi: 10.4103/jomfp.jomfp_524_22. Epub 2023 Sep 12.

Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE): A rare pathology with unusual behavior

Sunil O Sidana  1 , Shivaji R Chavan  1 , Padmakar S Baviskar  1 , Srivalli Natarajan  1
Affiliations
Case Reports

Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE): A rare pathology with unusual behavior

Sunil O Sidana et al. J Oral Maxillofac Pathol. 2023 Jul-Sep.

Abstract

Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is a benign lesion of oral mucosa with unclear pathogenesis. The etiology of TUGSE is still not clear, but traumatic irritation is considered to be the most likely cause. The lesion is usually self-limiting and regresses on its own or after biopsy and recurrence or reappearance of lesion is rare. We present a very unusual behavior of this lesion where lesion not only reappeared/recurred within few days of complete excision, but was larger than initial lesion and regressed after incisonal biopsy of the recurrent lesion. This presentation is rarely reported.

Keywords: Eosinophilia; Granuloma; TUGSE; Traumatic Ulcer; Ulcer.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Preoperative photograph before the biopsy (b) Defect after excisional biopsy (c) Reconstruction with buccal pad of fat
Figure 2
Figure 2
(a) Recurrance seen after five days (b) Fifteen days follow up showing regression of the lesion (c) Complete disappearance of the growth at 1 month follow up
Figure 3
Figure 3
Photo micrograph of (a and b) Excisonal biopsy showing feature of TUGSE (c and d) Incisonal biopsy showing features of TUGSE
See this image and copyright information in PMC

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