Pathology · single question

A pregnant patient develops a soft, red, pedunculated gingival mass that bleeds easily on contact. The most likely diagnosis is:

  1. Pyogenic granuloma (pregnancy tumor)
  2. Peripheral giant cell granuloma
  3. Irritation fibroma
  4. Squamous papilloma
Show answer and explanation

Correct answer: A. Pyogenic granuloma (pregnancy tumor)

  • A. Correct. A vascular, easily-bleeding gingival lesion in pregnancy is a pyogenic granuloma.
  • B. PGCG is typically bluish-purple and may cause cupping bone resorption; less linked to pregnancy.
  • C. A fibroma is firm and pale, not friable.
  • D. A papilloma is a cauliflower-like keratotic lesion, not friable.

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