BACKGROUND: Pyogenic granuloma is a benign lesion of unknown etiology that
occurs in the skin and mucous membranes. It has been reported as a common l
esion of the oral cavity and, less commonly, the nasal cavity. Although its
etiology is unclear, pyogenic granuloma has long been associated with preg
nancy, oral contraceptives and trauma. The term pregnancy tumor has been us
ed to reflect the association with pregnancy; nevertheless, pyogenic granul
oma is often misdiagnosed in obstetric patients.
CASE: We present the case of a 37-year-old, pregnant woman with an enlargin
g nasal mass ultimately diagnosed as pyogenic granuloma. The patient was tr
eated successfully with endoscopic excision of the lesion.
CONCLUSION: Pyogenic granuloma is a rapidly growing lesion that should be c
onsidered in the differential diagnosis of any gravid patient with a mass i
n the oral or nasal cavity. The lesion may result in complications of the p
regnancy, and management should be individualized for each patient.