ORAL PYOGENIC GRANULOMA IN THI QAR GOVERNORATE :RETROSPECTIVE STUDY
Abstract
Oral pyogenic granuloma is the most common inflammatory hyperplasia seen in the oral cavity the purpose of this study was to retrospectively analyze the clincopathologic feature , histologic pattern and relation to pregnancy in Al-Nasyriah governorate . A total of 100 cases of pyogenic granuloma (PG) during an 10 years period from 2000-2010 were examined. the data were reviewed and analyzed for age , gender , site , clinical and histopathologic features. The results shows that the age mean of occurrence was 29 years and the greatest degree of occurrence in third decade of life in young adult females. The gingiva was the most common affected site ( 38%) and the maxilla more affected than mandibule ( 24%) , the main complain was bleeding ( 65%) , the higher percent in females group was in pregnant women (66%). Non lobular capillary hemangioma (NLCH) (PG) were more fequentluy (73%) than lobular capillary hemangioma ( LCH) (PG) (27%). Because of the high frequency of PG in the oral cavity especially during pregnancy so need for proper diagnosis and treatment .References
Eversole LR(2002)Clinical outline of oral pathology :diagnosis and treatment .3rd ed,BC Decker,Hamilton,113-114
Green MS,Glick M(2003) oral medicine :diagnosis and treatment .10th ed ,BC Decker,Hamilton,141-142
Neville BW,Damm DD,Allen CM ,Bouquot JE(2002)Oral and maxillofacial pathology .2nd ed,WB Saunders ,Philadephia,437-495
Vilmann A,Vilmann P,Vilmann H(1986)Pyogenic granuloma :evaluation of oral condition.Br J Oral Maxillofac Surg 24,376-382
Yao T ,Nagai E,Utsunomiya T, Tsuneyoshi M (1995) An intestinal counterpart of pyogenic granuloma of the skin .A newly proposed entity .Am J Surg Pathol 19,1o54-1060
Fowler EB,Cuenin MF,Thompson SH ,Kudryk VL,Billman MA (1996)pyogenic granuloma associated with guided tissue regeneration :a case report. J Periodontol 67,1011-1015
Epivatianos A,antoniades D,Zaraboukas T,Zairi E ,Poulopoulos A, Kiziridou A ,Iordanidis S(2005) pyogenic granuloma of the of the oral cavity :comparative study of its clinicopathological and immunohistochamical feature . Pathol Int 55,391-397
Mills SE,Cooper PH ,Fechner RE(1980) Lobular capillary hemangioma :the underlying lesion of pyogenic granuloma .Astudy of 73 cases from the oral and nasal mucous membranes.Am J Surg Pathol 4,470-479
Regezi JA,Sciubba JJ,Jordan RCK(2003) oral pathology :clinical pathologic consideration .4th ed ,WB Saunders ,Philadelphia,115-116
Mussalli NG,HoppsRM,Johnson NW(1976)oral pyogenic granuloma as a complication of pregnancy and the use of hormonal contraceptive .Int J Gynaecol Obstet 14,187-191.
Bouquot JE,Nikai H (2001) Lesions of the oral cavity .In diagnostic surgical pathology of the head and neck ,Gnepp DR ed ,WD Saunders,Philadephia,141-233
Al-Khateeb T ,Ababneh K (2003) oral pyogenic granuloma in Jordanians :a retrospective analysis of 108 cases .JOral Maxillofac Surg 61 ,1285-1288
Zain RB,KhooSP,YeoJF (1995) Oral pyogenic granuloma (excluding pregnancy tumor )-a clinical analysis of 304 cases.Singapore Dent J 20,8-10
SillsES,Zegarelli DJ,Hoschander MM,Strider WE(1996) Clinical diagnosis and management of hormonally responsive oral pregnancy tumor (pyogenic granuloma).J Reprod Med 41,467-470
Sooriyamoorthy M,Gower DB (1989) Hormonal influences on gingival tissue :relationship to periodontal disease .J Clin Periodontol 16,201-208
Tumini`V,Di`Placido G,D Archivio D,Del Giglio Matarazzo A(1998)Hyperplastic gingival lesions in pregnancy .I.Epidemiology,pathology and clinical aspects Minerva Stomatol 47,159-167(in Italian)
Toida M,H Hasegawa T, Watanabe F, Kato K, Makita H, Fujitsuka H, Kato Y, Miyamoto K, Shibata T, Shimokawa K, (2003) Lobular capillary hemangioma of the oral mucosa: clinicopathological study of 43 cases with a special reference to immunohistochemical characterization of the vascular elements. Pathol Int 53, 1-7
Powel JL,Bailey CL ,Coopland AT,Otis CN,Frank JL,Meyer I(1994)ND:YAG laser excision of a gaint gingival pyogenic granuloma of pregnancy .Lasers Surg Med 14,178-183