This papilloma does not have the normal warty (cauliflower-like) appearance.
The biopsy confirmed an epithelial tissue abnormality. Variation in
appearance from the classically-described lesion should always be
considered in evaluation of tissue irregularity. Multiple papillomas may
indicate secondary syphilis.
Figure 2-3. Papilloma, variation in appearance.
A pyogenic granuloma (figure 2-4) may develop as a part of the wound repair
process that has been modified by the hormonal changes of puberty or pregnancy.
Pyogenic granulomas appear as hemorrhagic tissue growths (bright red in appearance)
and are usually found on gingival tissue in pregnant females in response to irritation
from subgingival calculus. Surgical removal of the tumor mass and removal of the
causative factor result in normal healing. However, if the irritant is not removed, the
pyogenic granuloma may recur.