A pregnant patient develops a rapidly growing, red, friable gingival mass that bleeds easily. The most likely diagnosis is:

Correct answer: A. Pyogenic granuloma (pregnancy tumor)

• A. Correct. A pyogenic granuloma ('pregnancy tumor') is a hormone-influenced, vascular, friable gingival overgrowth that bleeds readily.
• B. SCC is typically an indurated ulcer in older patients, not a soft pregnancy mass.
• C. A fibroma is firm, pale, and slow-growing—not friable and bleeding.
• D. An amalgam tattoo is a flat gray-blue pigmentation, not a growing mass.