Pyogenic granuloma

Pyogenic granuloma 

Updated: 10/16/2020

© Jun Wang, MD, PhD

General features
  • AKA lobular capillary hemangioma
  • Benign, may regress
  • May be associated with trauma
  • If during pregnancy: granuloma gravidarum, regress after delivery
Clinical presentations
  • Rapidly growing, exophytic red nodule, attached by a stalk to skin or gingival mucosa
  • Bleeds easily
  • May have erosion (raising concerns of malignancy)
Morphological features
 
(Image credit: LWozniak&KWZielinski [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)] )
  • Lobular capillary type vascular growth with fibrous septa
  • Variable inflammation and edema
Management
  • Surgery
  • Follow up


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