Extragingival pyogenic granuloma: a misnomer in an anomalous site with an unusual presentation

Pyogenic granuloma (PG) is thought to represent an exuberant tissue response to a constant local irritation or trauma and it might be related to hormonal changes. Clinically, oral pyogenic granuloma is a smooth or lobulated exophytic growth, pedunculated or sessile, which usually bleeds on provocation. Pyogenic granuloma of the oral cavity is known to involve the gingiva more commonly (75% of all the cases). On rare occasion, it can be found extragingivally on lips, tongue, buccal mucosa, and palate which may mimic more serious pathological conditions such as malignancies. The purpose of this case report is to describe a rare case of extragingival pyogenic granuloma with an unusual proliferative appearance on the right buccal mucosa in a 65 years old female patient and its management using 810 nm diode laser.