Summary
Pyogenic granuloma is a common, acquired, benign vascular lesion of skin and mucous
membranes which may occasionally present intravascularly or subcutaneously. Pyogenic
granuloma occur in all age groups and although they may eventually regress, removal
of unsightly, bleeding or uncomfortably positioned lesions is usually sought before
this takes place.
This is a retrospective study of 408 cases of pyogenic granuloma that were analysed
by the Stoke Mandeville Histopathology laboratory between 1994 and 2004. This study
was carried out to review the sex, age and anatomic distribution of the lesions and
to assess the most successful form of treatment on the basis of recurrence risk and
other measures such as aesthetic result, acceptability and appropriateness of the
procedure with respect to the patient.
There was a slight male preponderance especially among children. The exception to
this was lesions on mucous membranes, which were more common in women. Head and neck
was the most common anatomical location, in particular the cheek and intraoral locations.
Fewest recurrences were noted following excision and direct closure although all techniques
investigated showed an acceptably low recurrence rate. Whatever technique is used
it must yield material for histopathological analysis to ensure the exclusion of differential
diagnoses.
Keywords
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Article info
Publication history
Published online: May 10, 2007
Accepted:
October 10,
2006
Received:
April 25,
2006
Footnotes
☆Presented in part at The British Society of Plastic Surgeons Winter Meeting, December 2004.
Identification
Copyright
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
