RESECTION OF PYOGENIC GRANULOMA ON THE DORSUM OF THE TONGUE: CASE REPORT

Abstract

Introduction: Pyogenic granuloma is a benign vascular lesion characterized by rapid growth and a tendency to spontaneous bleeding. Although most common in the gums, lips, and buccal mucosa, its occurrence on the dorsum of the tongue is rare. The etiology is associated with local trauma, chronic irritation, and hormonal changes, and is common in young individuals. Objective: To report a case of pyogenic granuloma located on the dorsum of the tongue, highlighting the clinical and therapeutic aspects, and postoperative outcome. Case Report: A 32-year-old male patient sought care complaining of a nodular lesion on the dorsum of the tongue, which had been growing rapidly over the previous two weeks, accompanied by bleeding during eating and discomfort when speaking. Clinical examination revealed a pedunculated lesion measuring approximately 1.5 cm, intense red in color, ulcerated surface, and firm consistency. Given the suspicion of pyogenic granuloma, surgical resection under local anesthesia with a 2-mm safety margin was chosen. The procedure was performed uneventfully in an outpatient setting. The material was sent for histopathological analysis, which confirmed the diagnosis of pyogenic granuloma. The patient was followed for 60 days, with complete healing within three weeks and no recurrence or complications. Conclusion: Although uncommon on the dorsum of the tongue, pyogenic granuloma should be considered in the differential diagnosis of oral exophytic lesions. Surgical treatment is effective, providing symptom relief, good functional recovery, and a low risk of recurrence. Histological confirmation is essential to rule out other aggressive lesions. This report reinforces the importance of detailed clinical evaluation and early intervention to ensure a favorable outcome.