A massive pyogenic granuloma in the gingiva.

A large exophytic mass was seen in the oral cavity of a 22-year-old male. Repeated biopsies of the mass showed chronic inflammation with granulation tissue. An excisional biopsy confirmed the presence of pyogenic granuloma. This lesion is unusual as it attained a very large size causing considerable facial deformity. Intraoperatively, the lesion was noted to be highly vascular. This case may prove to be of great interest to otolaryngologists who often deal with oral lesions, as it demonstrates an extreme and unusual presentation of a definitely benign lesion.