International Journal of Clinical Case Reports 2016, Vol.6, No.27, 1-3
1
A Letter Open Access
Lobular Capillary Haemangioma: A Case Report
Abhishek Singh Nayyar
1
, Lakshmana N.
2
, Debasis Sahu
3
, Karteek E.
4
1 Department of Oral Medicine and Radiology, Saraswati Dhanwantari Dental College and Hospital and Post-Graduate Research Institute, Parbhani,
Maharashtra, India
2 Department of Oral Medicine and Radiology, Sri Sai Dental College and Hospital, Srikakulam, Andhra Pradesh, India
3 Department of Oral and Maxillofacial Surgery, Sri Sai Dental College and Hospital, Srikakulam, Andhra Pradesh, India
4 Department of Pedodontics, Sri Sai Dental College and Hospital, Srikakulam, Andhra Pradesh, India
Corresponding author e mail
International Journal of Clinical Case Reports
2016, Vol.6, No.27 doi
Received: 09 Aug., 2016
Accepted: 11 Oct., 2016
Published: 13 Oct., 2016
This is an open access article published under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly cited.
Preferred citation for this article
:
Nayyar A.S., Lakshmana N., Debasis S., and Karteek E., 2016, Lobular Capillary Haemangioma: A Case Report, International Journal of Clinical Case Reports,
6(27):1-3 (doi
Abstract
Pyogenic granuloma is vascular growth occurring on skin and mucous membrane. The term pyogenic granuloma is
actually said to be a misnomer as it is neither associated with pus nor it represents granuloma histologically. Oral pyogenic
granuloma commonly occurs on gingiva but can, also, be seen in relation to lips, palate, tongue and buccal mucosa. This case report
presents a case of lobular capillary haemangioma variant of pyogenic granuloma occurring interdentally in relation to palatal aspect
of maxillary right second premolar and first molar.
Keywords
Lobular capillary haemangioma; Pyogenic granuloma
Introduction
Pyogenic granuloma is a vascular growth occurring on skin and mucous membrane. The term pyogenic granuloma
is a misnomer as it is neither associated with pus nor it represents granuloma histologically (Shafer WG, Hine MK,
and Levy BM, 1983). Oral pyogenic granuloma commonly occurs on gingiva but can also occur on lips, palate,
tongue and buccal mucosa. Extra-orally, fingers and toes are commonly affected areas (Marks K, 2003). Clinically,
pyogenic granuloma occurs as a painless, soft mass, smooth or, lobulated, sessile or, pedunculated with the color
varying from pink to reddish purple and with a tendency to bleed spontaneously or, after minute provocations in
the form of physical trauma. Pyogenic granuloma was first described by Poncet and Dor in 1897 (Graham RM,
1996; Bjork K, et al., 1996). The term pyogenic granuloma or, granuloma pyogenicum was coined by Hertzell
(Hertzell MB, 1904). Other names for pyogenic granuloma include pregnancy tumor, Crocker and Hertzell’s
disease, granuloma gravidrum, vascular epulis and epulisgranulomatosa. Epulisgranulomatosa is a specific variant
of pyogenic granuloma consisting of hyperplastic growth of granulation tissue arising in the healing extraction
sockets as a response to bony sequestra in the socket (Neville BW, Damm DD, Allen CM, and Bouquot JE, 2002).
Based on histological features, two variants of pyogenic granuloma are known: lobular capillary hemangioma
(LCH) and non- lobular capillary hemangioma (non-LCH) variants (Epivatianos A, et al., 2005). In this case
report, we are reporting a case of lobular capillary hemangioma variant of pyogenic granuloma that is relatively
rare in its occurrence.
Case Report
A 30 year old female patient (Fig.1) reported with a chief complaint of swelling on gum in upper right back jaw
region. It was small in size when the patient first noticed it but went on increasing to the present size over a span
of one month. Intra-oral clinical examination revealed a 1.5X0.9X0.6cms, ovoid, reddish brown, pedunculated,
homogenous growth on the palatal aspect of maxillary right second premolar and first molar interdentally (Fig.2).
It was non-tender on palpation and bleeding was minimal. The margins were smooth and firm in consistency.
Intra-oral hard tissue examination revealed significant amount of calculus and plaque which might be the etiologic
factor in this case reported. Also, the patient gave history of using toothpick to remove food particles stuck in that
particular region which may have caused injury to the tissues in this region responsible for the growth. Based on
