RESUMO
El granuloma piógeno es una lesión que se manifiesta con frecuencia en piel y cavidad oral, está relacionado con diversas causas como irritación crónica, trauma y cambios hormonales. Clínicamente se muestra como una lesión hiperplásica altamente vascularizada de tamaño por lo regularmenor de 2 cm, de base pedunculada o sésil y de crecimiento lento. No tiene predilección por edad o sexo, tiende a aparecer sobre todo en la encía, labios y mucosa bucal, con muy pocos casos reportados en la región lingual, motivo por el que se lleva a cabo el presente reporte de caso, a fin de describir esta lesión en el tercio posterior del dorso delengua en un paciente de 85 años de edad.
Piogenyc granuloma is an injury commonly seen in the skin and oralcavity, it is related to several causes such as chronic irritation, traumaand hormonal changes. Clinically, it is presented as a hyperplasicinjury highly vascular-related, with a size generally no bigger than 2cm pedunculated in base or sessile and slow in growth. Without showingany preferece in age or gender, it tends to appear mainly on the gums,lips and oral mucosae, with very few reported cases in the lingual area.Therefore the hereby report is delivered as means to describe this kindof injury with a very unusual location.
Assuntos
Masculino , Humanos , Idoso , Granuloma Piogênico/diagnóstico por imagem , Granuloma Piogênico/patologia , Granuloma Piogênico/cirurgia , Neoplasias da Língua/classificação , Biópsia/métodos , Diagnóstico Diferencial , Granuloma Piogênico/epidemiologia , Procedimentos Cirúrgicos Bucais/métodosRESUMO
AIM: The present study examined retrospectively the clinical and radiographic characteristics of pyogenic granuloma (PG), peripheral giant cell granuloma (PGCG) and peripheral ossifying fibroma (POF), located in the gingiva and alveolar ridge. METHODS: Biopsy records of the Stomatology Service of São Lucas Hospital-PUCRS were reviewed between 1980 and 2006. The medical charts of patients with histopathologic diagnosis of PG, PGCG and POF were selected. The data obtained were evaluated by means of descriptive statistics, analysis of variance (ANOVA), and the chi-squared test (chi-squared), considering the 5% level of significance. RESULTS: Of the 138 cases analyzed, 57.2% corresponded to PG, 22.5% to PGCG and 20.3% to POF. PG and POF exhibited a predilection for females and PGCG for males. PG occurred in younger individuals and showed a greater tendency for bleeding (P=0.018). PG showed a greater frequency of reddish color (P<0.001), PGCG purplish (P<0.001) and POF pinkish (P<0.001). In the radiographic examination, the presence of radiopaque foci was greater in POF (P<0.001), and resorption of the subjacent alveolar bone was found more often in PGCG (P<0.001). POF exhibited a longer evolution. There was no difference in lesions with respect to local irritating factors, ulceration, size, site and recurrence. Pregnancy was a factor linked to PG. CONCLUSION: Despite the lesions investigated exhibit similar clinical characteristics, the present study demonstrated that aspects such as age of the patient and evolution, color, bleeding and radiographic characteristics can help in the differential diagnosis of these lesions.