OBJECTIVE: To report the case of a 34-year-old patient with a vascularized, pedunculated lesion compatible with pyogenic granuloma in the palatal area. CASE REPORT: A 34-year-old patient who had lived in Rio de Janeiro since birth, sought care from the Otorhinolaryngology Service of Hospital Geral da Santa Casa da Misericórdia do Rio de Janeiro, complaining of a swelling in the palatal region. The lesion was associated with bleeding and pain during meals, and had been growing over the past 30 days. Physical examination showed a vascularized, pedunculated and non-tender mass in the palatal area. The lesion was irregular in shape, measured approximately 3 cm across, and was associated with local candidiasis. Investigation with fiberoptic nasopharyngolaryngoscopy, computed tomography of the paranasal sinuses with contrast enhancement, blood tests, and subsequent biopsy, led to a histopathological diagnosis of lobular capillary hemangioma or pyogenic granuloma. The lesion was extirpated under general anesthesia, with complete relief from symptoms. The patient attends our clinic for regular follow up and has been healthy till date. CONCLUSION: It is important to suspect the occurrence of benign hyperplastic lesions in unusual locations to facilitate their diagnosis and allow early treatment.
