Pyogenic Granuloma Mimicking Vascular Tumour: Report of an Unusual Case

Pyogenic granuloma is a benign, rapidly proliferating vascular lesion of the oral cavity, commonly affecting the gingiva but rarely occurring in the floor of the mouth. We present a case of a 70-year-old male with a pedunculated bluish-pink growth in the anterior floor of the mouth, initially suspected to be a vascular tumor based on clinical and radiological findings. Contrast-enhanced computed tomography revealed a well-defined hypervascular lesion. Complete surgical excision was performed, and histopathological examination confirmed the lesion as a pyogenic granuloma. Healing was uneventful with no recurrence during follow-up. This case underscores the diagnostic challenge of differentiating pyogenic granulomas from vascular tumors in uncommon sites and highlights the importance of histopathological confirmation and complete excision for definitive management.