Palatal pyogenic granulomaa
A 22-year-old female patient reported to the Department of Oral medicine and Radiology, with a complaint of growth in the palate for the past 8 months. History reveals that the growth started as a small nodular, which gradually increased to the present size. Patient gives a history of occasional bleeding from the lesion and her medical history reveals that she developed growth during her 2nd month of pregnancy and it has retained after pregnancy.\nOn intra oral examination multiple, well-defined, pedunculated growth is evident in the midpalatal region [], measuring around 2 cm × 2 cm in size, irregular margins, surface lobulated and color appears purplish red and certain parts of the lesion are blanched. The growth is firm in consistency, non-tender, smooth surface and has a narrow pedunculated base with evidence of bleeding from the base of the lesion []. Excision biopsy was carried out under local anesthesia and specimen [Figures and ] sent for histopathological study. Histopathological study confirmed it as PG. On 3 months follow-up, healing was satisfactory and there was no recurrence.\nOn microscopic examination, sections show stratified squamous epithelium with ulceration overlying lobules of proliferating vascular channels amidst inflammatory cells. The impression about the lesion was consistent with lobular capillary hemangioma PG [Figures and ].