A 57-year-old male patient who was guided by a dentist, presented with gingival swelling to the department of hematology (Fig. 1A). He had been suffering from increasing gingival enlargement for two months in maxillary and mandibulary teeth and also gingival bleeding while tooth brushing or eating. He had a history of hypertension, which he had been treating with oral amlodipine (10 mg once daily) for the past one year and type 2 diabetes mellitus, which he had been treating with oral metphormin.