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Pathology · single question

A 28-year-old non-pregnant female presents with a lobulated, friable, bleeding gingival mass. What is the correct diagnostic term, given that she is NOT pregnant?

  1. Pyogenic granuloma (the general term; 'granuloma gravidarum'/'pregnancy tumor' is reserved specifically for the same lesion occurring during pregnancy)
  2. Peripheral giant cell granuloma exclusively
  3. Pregnancy tumor, regardless of pregnancy status
  4. Fibroma
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Correct answer: A. Pyogenic granuloma (the general term; 'granuloma gravidarum'/'pregnancy tumor' is reserved specifically for the same lesion occurring during pregnancy)

A lobulated, vascular, friable, easily bleeding gingival mass is classically a pyogenic granuloma. The specific term 'pregnancy tumor' (or 'granuloma gravidarum') is reserved for this same histologic lesion occurring specifically during pregnancy (attributed to hormonal influences) — since this patient is not pregnant, the correct, more general terminology is simply pyogenic granuloma.

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