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Granuloma, Pyogenic

Michelle Moran McDonough, MD and Keith L Stelter, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Pyogenic granulomas (PG)are benign vascular proliferations that appear most commonly on the skin and mucus membranes. Most common sites are head and neck, the lips and oral cavity, t...

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)[C]. Excision must be adequate to avoid recurrence. Even a small fragment of ...

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, Har...

ADDITIONAL READING

  • Gilmore  A, Kelsberg  G, Safranek  S. Clinical inquiries. What’s the best treatment for pyogenic granuloma? J Fam Pract.  20...

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

SNOMED

  • 200722003 Py...

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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