Pyogenic Granuloma.

Rapidly growing nodule that often bleeds.

What is Pyogenic Granuloma?

Pyogenic Granuloma is a common benign tumour of the blood vessels (a Vascular Tumour). The growth is neither pyogenic (pus-forming) nor a granuloma (inflammatory lesion) – but the name has stuck.

The problem with pyogenic granuloma is that if often bleeds.

The lesion grows over just a few weeks and  is most commonly located on the head or neck, arms, legs & trunk – most places in fact! Overall, though, it is most common on the head and neck.

The growth is most commonly seen in children and young adults. The condition becomes less common with increasing age.

Pyogenic Granuloma often occurs in the middle of pregnancy. Overall, the growth occurs in around 2% of pregnant women. It is often found on the lips or gums.

What does a Pyogenic Granuloma look like?

Pyogenic Granuloma projects out of the skin as a round or oval nodule and is usually around 5-10 mm in size. The Vascular nature of the tumour makes it shiny and  red or red-brown. There is often a “collar” of scale around the base. The typical Pyogenic Granuloma is said to look like a raspberry. The lesion will feel quite soft, and bleed easily.

The most important alternative diagnoses are amelanotic melanoma, Spitz nevus, nodular BCC and SCC. Of these, amelanotic melanoma is the big one not to miss.