Pathology · single question
A 28-year-old woman has a reddish, vascular, exophytic gingival lesion near an ectopic/angulated canine that bleeds easily. Most likely diagnosis?
Show answer and explanation
Correct answer: B. Pyogenic granuloma
- A. Peripheral ossifying fibroma is firmer and contains mineralized tissue; less likely to be vividly vascular/easily bleeding.
- B. Correct. A red, vascular, easily bleeding exophytic gingival mass (often in young women / hormonal influence) is a pyogenic granuloma.
- C. Peripheral giant cell granuloma is bluish-purple and arises only on the gingiva/alveolus; a reasonable differential but the description fits pyogenic granuloma best.
- D. An irritation fibroma is pale, firm and does not bleed easily.