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Granuloma, Pyogenic

John M. Doan, DO and Sarah Dolbear, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Pyogenic granulomas (PG), also called lobular capillary hemangiomas, are benign vascular proliferations that can appear on the skin and mucus membranes. Most common sites are head an...

DIAGNOSIS

HISTORY

  • Solitary lesion that develops rapidly from days to weeks after minor trauma

  • Tends to bleed easily

  • Grows early in pregnancy and partially regresses postpartum

PHYSICAL EXAM

  • Most commonly l...

TREATMENT

  • Full thickness surgical excision is best to yield material for histopathologic analysis and avoid recurrence (1,4,5)[B].

  • Excision must be adequate to avoid recurrence. Even a small fragment o...

ONGOING CARE

PATIENT EDUCATION

Patient should avoid trauma to area following excision. 

PROGNOSIS

  • Some lesions spontaneously resolve on their own (usually within 6 months).

  • Complete resolution is expected...

REFERENCES

1
Lin RL, Janniger CK. Pyogenic granuloma. Cutis.  2004;74(4):229–233. [View Abstract on OvidMedline]
2
Harris MN, Desai R, Chuang TY, et al. Lobular capillary hemangiomas: an epidemiolo...

ADDITIONAL READING

  • Greene AK. Management of hemangiomas and other vascular tumors. Clin Plast Surg.  2011;38(1):45–63. [View Abstract on OvidMedline]

  • Kroumpouzos G, Cohen LM. Dermatoses of pregna...

CODES

ICD10

  • L98.0 Pyogenic granuloma

  • K06.8 Oth disrd of gingiva and edentulous alveolar ridge

  • K13.4 Granuloma and granuloma-like lesions of oral mucosa

  • K04.5 Chronic apical periodontitis

ICD9

  • 686.1 Pyogenic...

CLINICAL PEARLS

  • Benign, vascular tumor, usually rapidly growing, that involves exposed areas, such as distal extremities and face, as well as in the oral cavity

  • Excision must be adequate to avoid recur...

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