Extra Gingival Pyogenic Granuloma: Unusual Location for the Usual Lesion.

Pyogenic granuloma (PG) is a benign non-neoplastic mucocutaneous lesion formed in reaction to mild irritation or hormonal changes. Although this fairly common lesion has a striking predilection for the gingiva, it can also be found extra gingivally. The clinical diagnosis of such an uncommon extra gingival PG can be quite challenging as the lesions appear as smooth or lobulated red nodules with easy bleeding, occasionally ulcerated mimicking malignancies. The purpose of this article is to report an unusual case of extra gingival PG occurring on the upper lip. The diagnosis of oral lesions is complex due to distinct appearance of the same lesion and leads the clinician to consider lesions with different diagnostic methods.