Management of lobulated and non-lobulated capillary haemangioma in a 22-year-old male patient- A rare case report

Pyogenic granuloma (PG), a benign, reactive, vascular exophytic growth occurring in oral cavity with a sessile or pedunculated base. Commonly occurs on gingiva, lip, tongue, buccal mucosa, palate and floor of the mouth. The usual causative agents are calculus, presence of foreign body, although certain drugs and hormonal imbalances precipitate its growth. Difficulty in speech, mastication and compromised aesthetics is encountered when increased in size. Histologically two variants are reported: Lobulated capillary haemangioma (LCH) and non- LCH. LCH shows organised arrangement of lobular aggregates of blood vessels whereas, non-LCH features granulation tissue type without lobular aggregates. The treatment consists of elimination of local irritants with conservative surgical excision. This case report deals with a patient who presented with long standing PG at multiple sites causing him difficulty in mastication leading to inadequate dietary intake which causing undernourishment. The management included elimination of local factors and excision by diode laser.