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Granuloma, Pyogenic

Cameron S. Gilbert, MD Reviewed 06/2019
 


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 (4)[A]. Excision must be adequate to avoid recurrence. Even a small fragment of t...

ONGOING CARE

PATIENT EDUCATION

Patient should avoid trauma to area following excision. 

PROGNOSIS

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

  • With treatment, recurrence rate...

REFERENCES

1
Lin RL, Janniger CK. Pyogenic granuloma. Cutis.  2004;74(4):229–233. [View Abstract on OvidMedline]
2
Borden A, Harrington JW. Pyogenic granuloma: an overview of pathogenesis, diagnosis...

ADDITIONAL READING

  • Gilmore A, Kelsberg G, Safranek S. Clinical inquiries. What’s the best treatment for pyogenic granuloma? J Fam Pract.  2010;59(1):40–42. [View Abstract on OvidMedline]

  • Greene AK...

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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