Pathology · single question

A pregnant patient presents with a lobulated, vascular, easily bleeding gingival mass. What is this lesion most specifically called, given her pregnancy?

  1. Pyogenic granuloma
  2. Peripheral ossifying fibroma exclusively
  3. Fibroma
  4. Squamous papilloma
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Correct answer: A. Pyogenic granuloma

This lesion is histologically a pyogenic granuloma; when it occurs specifically during pregnancy (attributed to hormonal influences exaggerating the vascular/inflammatory reactive response to local irritation), it's given the more specific name 'pregnancy tumor' or 'granuloma gravidarum.' Outside of pregnancy, the same lesion is simply called a pyogenic granuloma.

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