Giant Oral Pyogenic Granuloma - A Case Report

口腔巨大化膿性肉芽腫－病例報告

沈宗憲(Tzung-Shiahn Sheen) ； 許永祥(Yung-Hsiang Hsu) ； 柯政郁(Jenq-Yuh Ko)

《慈濟醫學雜誌》 10卷2期 (1998/06) Pp. 145-149

https://doi.org/10.6440/TZUCMJ.199806.0145

摘要

化膿性肉芽腫是頭頸部常見的良性腫瘤，好發於口腔牙齦部，其病因尚未明瞭，但與創傷或內分泌功態失調有關。口腔創傷常因不適之假牙或咬傷而引起，因這類病灶容易被察覺，所以大多數口腔化膿性肉芽腫均相當小，但如被忽略則可能長到相程度而被誤認為惡性腫瘤。本病例為54歲女性，伴有中度智能障礙，在口腔硬腭部發現一直徑5cm顏色與口腔黏膜似之蕈狀腫瘤。手術摘除後並以硬腭旋轉黏膜瓣敷蓋牙齦缺口以避免復發，治療至今已3年且無復發現象。病理診斷為化膿性肉芽腫併有纖維化現象，顯示為一長期病灶。口腔巨大化膿性肉芽腫實屬罕見，但仍應列入口腔惡性腫瘤之鑑別診斷手術摘除並以局部黏膜瓣敷蓋缺口是主要治療方式。(慈濟醫學1998;10:145-149)

關鍵字

化膿性肉芽腫 ； 口腔腫痛 ； 小葉狀微血管瘤

並列摘要

Pyogenic granulomas are cmmon benign tumors which generally occur in the head and neck region. The most common site of occureence is the gingival of the oral cavity. Trauma and hormone imbalance have been proposed as etiologies. Oral pyogenic granulomas are usually small because the patients themselves can easily detec these lesions. We report the case of a 54-year-old mentally retarded woman who presented with a large oral tumor on her hard palate. This 5*4cm cauliflower-like pink tumor was firm with a pedicle originating from the dental socket of her left upper molar. It was excised and the gingival defect was covered with a local rotational palatal flap. The histopathology revealed a pyogenic granuloma with extensive fibrosis, indicating a long-term process. She has received follow-up examination for 3 years with no recurrence of the tumor. Large oral pyogenic granulomas are unusual and should be considered in the differential diagnosis of a malignant oral tumor. Complete surgical removal of the tumor and subsequent convering of the area with a local palatal flap can prevent recurrene. (Tzu Chi Med J1998;10:145-149)

並列關鍵字

pyogenic granuloma ； oral tumor ； lobular capillary hemangioma