Dr. Apoorva P

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

Background:A saccular cyst of the larynx is a mucous filled dilatation of the laryngeal saccule.It is an uncommon laryngeal anomaly that needs early diagnosis and timely management as they can mimic or be associated with other more serious laryngeal pathology including carcinoma of the larynx. Case report:A 45 year old female presented to ENT OPD with throat pain and change in voice since 3 months. Indirect laryngoscopy revealed a smooth bulge over right false vocal cord, obliterating the visualisation of the right true vocal cord,with normal mobility. CECT scan showed well defined soft tissue lesion involving right false vocal cord. USG guided FNAC was done revealed features suggestive of benign cystic lesion.Patient was started on IV antibiotics and oral steroid.Patient showed drastic improvement symptomatically and clinically which was confirmed with regular Indirect laryngoscopy. Conclusion:Saccular cyst although uncommon should be included in the differential of any laryngeal mass. Once recognized early, they can be effectively and safely treated.