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Peripheral Ossifying Fibroma Evolved From Pyogenic Granuloma

The aim of the present article is to present the clinical case of a large peripheral ossifying fibroma that evolved from a previously diagnosed pyogenic granuloma in a 50-year-old woman. The patient was referred for treatment of a lesion over the buccal and palatal gingiva close to the left upper fi...

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Autores principales: Godinho, Géssica V, Silva, Cristhiane A, Noronha, Bruno R, Silva, Everton J, Volpato, Luiz E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8807426/
https://www.ncbi.nlm.nih.gov/pubmed/35145808
http://dx.doi.org/10.7759/cureus.20904
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author Godinho, Géssica V
Silva, Cristhiane A
Noronha, Bruno R
Silva, Everton J
Volpato, Luiz E
author_facet Godinho, Géssica V
Silva, Cristhiane A
Noronha, Bruno R
Silva, Everton J
Volpato, Luiz E
author_sort Godinho, Géssica V
collection PubMed
description The aim of the present article is to present the clinical case of a large peripheral ossifying fibroma that evolved from a previously diagnosed pyogenic granuloma in a 50-year-old woman. The patient was referred for treatment of a lesion over the buccal and palatal gingiva close to the left upper first molar. It was purplish-red in color, approximately 3 cm in diameter, having a smooth surface, a pedicled and bleeding base, with seven years of evolution, and diagnosed as pyogenic granuloma. After three years of evasion, the patient returned reporting an increase in the lesion and difficulty in eating. Clinically the nodule was lobular in appearance, pink in color and smooth, pediculated, firm in consistency, non-bleeding, about 5 cm in its greatest extension, extending to the maxillary tuberosity. The lesion was excised and referred for histopathological examination, which led to the diagnosis of peripheral ossifying fibroma. The patient was followed for approximately 18 months, prosthetically rehabilitated, with satisfactory healing and no clinical signs of recurrence. The possible evolution of a pyogenic granuloma to a peripheral ossifying fibroma was observed in this case, based on the histopathological changes that occurred, with the development of calcified material, fibrous maturation, and decreased vascular content of the initial lesion after three years.
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spelling pubmed-88074262022-02-09 Peripheral Ossifying Fibroma Evolved From Pyogenic Granuloma Godinho, Géssica V Silva, Cristhiane A Noronha, Bruno R Silva, Everton J Volpato, Luiz E Cureus Pathology The aim of the present article is to present the clinical case of a large peripheral ossifying fibroma that evolved from a previously diagnosed pyogenic granuloma in a 50-year-old woman. The patient was referred for treatment of a lesion over the buccal and palatal gingiva close to the left upper first molar. It was purplish-red in color, approximately 3 cm in diameter, having a smooth surface, a pedicled and bleeding base, with seven years of evolution, and diagnosed as pyogenic granuloma. After three years of evasion, the patient returned reporting an increase in the lesion and difficulty in eating. Clinically the nodule was lobular in appearance, pink in color and smooth, pediculated, firm in consistency, non-bleeding, about 5 cm in its greatest extension, extending to the maxillary tuberosity. The lesion was excised and referred for histopathological examination, which led to the diagnosis of peripheral ossifying fibroma. The patient was followed for approximately 18 months, prosthetically rehabilitated, with satisfactory healing and no clinical signs of recurrence. The possible evolution of a pyogenic granuloma to a peripheral ossifying fibroma was observed in this case, based on the histopathological changes that occurred, with the development of calcified material, fibrous maturation, and decreased vascular content of the initial lesion after three years. Cureus 2022-01-03 /pmc/articles/PMC8807426/ /pubmed/35145808 http://dx.doi.org/10.7759/cureus.20904 Text en Copyright © 2022, Godinho et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pathology
Godinho, Géssica V
Silva, Cristhiane A
Noronha, Bruno R
Silva, Everton J
Volpato, Luiz E
Peripheral Ossifying Fibroma Evolved From Pyogenic Granuloma
title Peripheral Ossifying Fibroma Evolved From Pyogenic Granuloma
title_full Peripheral Ossifying Fibroma Evolved From Pyogenic Granuloma
title_fullStr Peripheral Ossifying Fibroma Evolved From Pyogenic Granuloma
title_full_unstemmed Peripheral Ossifying Fibroma Evolved From Pyogenic Granuloma
title_short Peripheral Ossifying Fibroma Evolved From Pyogenic Granuloma
title_sort peripheral ossifying fibroma evolved from pyogenic granuloma
topic Pathology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8807426/
https://www.ncbi.nlm.nih.gov/pubmed/35145808
http://dx.doi.org/10.7759/cureus.20904
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