The Tongue’s Tumour – Decoding Enigmatic Pyogenic Granuloma

ABSTRACT Pyogenic granuloma is a benign vascular neoplasm of skin and mucous membranes. It is also known as Botriomycome. It results from inflammatory hyperplasia of mucosa or the skin. Females are more commonly affected probably due to the vascular effects of hormones that occur during puberty, pregnancy and menopause. Intraorally, gingiva is the most commonly (75%) affected and rarely have been reported on extragingival sites like palate, buccal mucosa, tongue and lips. Intraorally, the lesion appears as a hyperplastic inflammatory response to local irritation or trauma. Extra oral sites commonly involved are the skin of face, neck, upper and lower extremities, and mucous membrane of nose and eyelids. Clinically, pyogenic granulomas are characterized as a smooth or lobulated exophytic lesion with colour ranging from red/pink to purple. The mass may have a pedunculated or sessile base and is usually non tender but it can bleed on touch. Hereby we are reporting an unusual location of pyogenic granuloma on tongue. Keywords: Tongue, Hormone, NBCA