Recurrent post-partum pregnancy tumor: A case report

Medical Reports Pub Date : 2025-02-01 Epub Date: 2024-12-04 DOI:10.1016/j.hmedic.2024.100146
Vivek Manohar Kavila , Jerusha P , Stella Spurthi G , Komali Paruvada
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Abstract

Pregnancy tumor is a reactive hyperplasia of the connective tissue in response to local irritants. Hormonal changes have also been attributed as a likely cause of pregnancy tumors which is frequently seen during pregnancy. Increased levels of sex hormones during pregnancy affect the subgingival microflora, the immune system, the vasculature, and specific cells of the periodontium. This, combined with local irritants, can exacerbate the lesion. Clinically, these lesions appear as tumor-like, non-neoplastic growths in the oral cavity. Pregnancy tumor, typically does not recur after careful surgical excision and the correction of contributing factors. Histopathology plays a crucial role in the diagnosis of the pregnancy tumors. This report presents a case of pregnancy tumor which reoccurred twice in a span of one year postpartum. The patient was followed up for one year after surgical excision, and no recurrence was detected. Recurrence is seldom when local factors are promptly addressed and with thorough surgical excision.
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产后复发性妊娠肿瘤1例
妊娠肿瘤是结缔组织对局部刺激物的反应性增生。荷尔蒙的变化也被认为是妊娠肿瘤的可能原因,这在妊娠期间很常见。怀孕期间性激素水平升高会影响龈下菌群、免疫系统、脉管系统和牙周组织的特定细胞。这与局部刺激相结合,可使病变恶化。临床上,这些病变表现为口腔内肿瘤样的非肿瘤生长。妊娠期肿瘤,经仔细的手术切除和因素纠正后一般不会复发。组织病理学在妊娠肿瘤的诊断中起着至关重要的作用。本文报告一例妊娠肿瘤在产后一年内两次复发。术后随访1年,未见复发。当局部因素得到及时处理并进行彻底的手术切除时,复发是很少的。
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