European Journal of Biomedical and Pharmaceutical Sciences

PYOGENIC GRANULOMA OF BUCCAL MUCOSA IN A NINE-YEAR-OLD MALE CHILD: A RARE CASE REPORT

Gajendra Birajee*, Bandana Koirala, Mamta Dali, Sneha Shrestha, Royasa Shakya and Ashish Shrestha

ABSTRACT

Introduction: Pyogenic granuloma is a benign inflammatory tumor-like lesion. It is mainly caused by low-grade irritation, traumatic injury, or hormonal factors. It predominantly occurs in the second decade of life in females, commonly involves anterior maxillary gingiva, and is rarely found on lips, tongue, palate, and oral mucosa. The objective of this case report is to report a rare case of pyogenic granuloma of buccal mucosa in a nine-year-old male child. Case report: A nine-year-old male child reported to our department, complaining of a swelling on the left side of the cheek inside the mouth for two months. The child had a positive history of habitual cheek biting. Intraoral examination revealed a well-circumscribed single pedunculated, erythematous tissue mass of size 9x6x4 mm3. On palpation, the lesion was firm in consistency, non-tender, and without pulsation. The tissue mass was excised from the base using a scalpel and blade under local anesthesia followed by primary tissue closure with 4-0 silk suture. Histopathological examination of the tissue was done. Conclusion: Our case report is rare because of the unusual age and gender of the patient and the unusual site of the pyogenic granuloma. We diagnosed and treated the patient successfully without a sign of recurrence in a two-year follow-up.

Keywords: Child, Buccal Mucosa, Pyogenic Granuloma.