home
RSS
September 15th, 2010
08:35 AM ET

What causes pyogenic granuloma?

Every weekday, a CNNHealth expert doctor answers a viewer question. On Wednesdays, it's Dr. Otis Brawley, chief medical officer at the
American Cancer Society.

Question asked by David Howard, Shenyang, China

I'm an American living in China. Two months ago I had a pyogenic granuloma surgically removed from the palm of my hand. It had grown to about 2 x 3 centimeters in size and would often bleed. Now I have several (eight) small granulomas starting in the same general, but larger area. Could there be an alternative diagnosis or cause?

Expert answer

Pyogenic granuloma is a skin lesion also called granuloma telangiectaticum. It is not an infection as the name suggests. The lesion is caused by growth of small blood vessels. It can be several centimeters (up to one inch in diameter). They can be found anywhere on the skin or even on the gums of the mouth. The cause of these lesions is unknown. They often, but not always, occur after some type of trauma. They also commonly occur during the early stages of pregnancy and can regress after pregnancy.

The diagnosis is suspected when there is a history of a reddish and flesh colored dome shaped lesion that developed over the course of a few days to three weeks and bleeds easily. It can be confused with other lesions such as a type of melanoma known as amelanotic melanoma. This skin cancer without pigment usually develops more slowly. There are many noncancerous lesions that can be confused with a pyogenic granuloma. Among them are benign nevi or moles and a lesion called dermatofibrosis. Biopsy and microscopic evaluation of the lesion is often needed to be sure.

A definite pyogenic granuloma need not be treated unless it is bothersome. Common reasons for treatment are cosmetic inconveniences and some bleed easily with minor trauma. Treatment is a minor surgical excision. There are several methods of surgical removal. A method known as a "punch biopsy" is preferred, but can be difficult in certain areas of the body especially certain areas of the hand. A shave excision or shaving with electrocautery - using an electrified probe - to stop bleeding are two methods used when punch biopsy cannot be done. The punch biopsy removes some deeper tissue and is more likely to get the entire lesion. These lesions do recur after an inadequate surgery, but they can also recur after an adequate surgery.

The multiple lesions that you describe after surgery are consistent with what is referred to as "satellite lesions" which sometimes do occur after an excision of a single pyogenic granuloma. These satellite lesions are best evaluated and treated by a dermatologist experienced in their removal and you may need referral to a plastic surgeon who specializes in hand surgery.


soundoff (854 Responses)
  1. Relentless Collision

    nice information for a new blogger. it is really helpful

    https://www.google.com/maps/place/Relentless+Collision/@35.8167572,-78.597496,15z/data=!4m5!3m4!1s0x0:0xecfa0d223ab3249d!8m2!3d35.8167572!4d-78.597496

    June 12, 2021 at 02:15 | Report abuse | Reply
  2. free Instagram followers

    It's going to be end of mine day, except before end I am
    reading this impressive post to improve my experience.

    June 12, 2021 at 02:54 | Report abuse | Reply
  3. Sprinter Van Alignment

    http://zdorov.online/goto.php?l=fleetautorepairshop.com/

    June 12, 2021 at 04:02 | Report abuse | Reply
  4. RV Dashboard Orange County

    http://www.volleyballaustralia.org.au/Redirect.aspx?destination=https://www.ocrv.xyz/

    June 12, 2021 at 04:02 | Report abuse | Reply
  5. rv slide out leak repair

    https://www.paulis.de/frame/?url=//ocrvmotorcoachsales.com

    June 12, 2021 at 04:31 | Report abuse | Reply
  6. 2004 Mercedes Sprinter Engine Block Repair

    https://www.isixsigma.com/share.php?site=http://www.commercialvanrepairshop.com/

    June 12, 2021 at 04:33 | Report abuse | Reply
  7. 2004 Mercedes Sprinter Engine Block Repair

    Good day! I simply want to offer you a big thumbs up for the excellent info you have got right here on this post. I am coming back to your blog for more soon.

    http://envirodesic.com/healthyschools/commpost/hstransition.asp?urlrefer=campervanrepairshop.com

    June 12, 2021 at 05:05 | Report abuse | Reply
  8. after school programs gamrbills

    Commenting on a blog is an art. Good comments create relations. You're doing great work. Keep it up.

    https://morphomics.science/wiki/Faculty_Dependent_AfterUniversity_Programs

    June 12, 2021 at 06:13 | Report abuse | Reply
  9. Royal Armitage

    Saved as a favorite, I love your site!

    http://paxtonl31j1.blogsidea.com/5674981/details-fiction-and-digital-marketing-firms

    June 12, 2021 at 12:21 | Report abuse | Reply
  10. Star Benimadho

    This is a really good tip particularly to those fresh to the blogosphere. Brief but very accurate infoÖ Thank you for sharing this one. A must read article!

    http://reidl29d8.blogdigy.com/the-definitive-guide-to-smoke-shop-14787134

    June 12, 2021 at 12:24 | Report abuse | Reply
  11. quest diagnostics near me

    http://bhhshomes.com/__media__/js/netsoltrademark.php?d=www.quotenearme.com/

    June 12, 2021 at 14:03 | Report abuse | Reply
  12. carmax near me

    Having read this I thought it was very informative. I appreciate you finding the time and effort to put this short article together. I once again find myself personally spending a significant amount of time both reading and commenting. But so what, it was still worthwhile!

    http://www.ranchobelagonetwork.biz/__media__/js/netsoltrademark.php?d=bulknearme.com/

    June 12, 2021 at 15:40 | Report abuse | Reply
  13. mattress near me

    http://searchesinteractive.com/__media__/js/netsoltrademark.php?d=www.bonus-books.com

    June 12, 2021 at 16:08 | Report abuse | Reply
  14. sonic near me

    Everything is very open with a precise explanation of the challenges. It was really informative. Your website is useful. Many thanks for sharing!

    http://wolframmusic.org/__media__/js/netsoltrademark.php?d=bestshopnearme.com

    June 12, 2021 at 18:29 | Report abuse | Reply
  15. powder coating near me

    https://www.oltv.cz/redirect.php?url=https://bestlocalnearme.com/

    June 12, 2021 at 19:24 | Report abuse | Reply
  16. veterinary near me

    http://www.webstring.com/__media__/js/netsoltrademark.php?d=bestshopnearme.com/

    June 12, 2021 at 22:46 | Report abuse | Reply
  17. aldis near me

    https://blog.ss-blog.jp/_pages/mobile/step/index?u=http://quotenearme.com/

    June 12, 2021 at 23:01 | Report abuse | Reply
  18. napa auto parts near me

    An outstanding share! I've just forwarded this onto a colleague who was conducting a little homework on this. And he in fact ordered me dinner because I found it for him... lol. So allow me to reword this.... Thanks for the meal!! But yeah, thanks for spending time to talk about this topic here on your blog.

    http://historisches-festmahl.de/go.php?url=http://www.hootnholler.net

    June 13, 2021 at 03:10 | Report abuse | Reply
  19. enterprise near me

    May I simply just say what a relief to uncover an individual who actually understands what they're talking about on the web. You certainly realize how to bring an issue to light and make it important. More and more people really need to read this and understand this side of the story. I was surprised you're not more popular given that you surely possess the gift.

    http://911tip.com/__media__/js/netsoltrademark.php?d=www.nearmyspot.com

    June 13, 2021 at 05:18 | Report abuse | Reply
  20. storage units near me

    http://meetingsandconventions.net/__media__/js/netsoltrademark.php?d=bestshopnearme.com

    June 13, 2021 at 08:19 | Report abuse | Reply
  21. hiring near me

    https://www.englishspoken.info/clickstats.php?Ref=S950182&LinkOut=www.nearmyspot.com

    June 13, 2021 at 08:39 | Report abuse | Reply
  22. credit unions near me

    http://www.cropsmart.com/__media__/js/netsoltrademark.php?d=hootnholler.net

    June 13, 2021 at 08:55 | Report abuse | Reply
  23. burger places near me

    The very next time I read a blog, I hope that it won't disappoint me as much as this one. After all, I know it was my choice to read through, nonetheless I truly thought you'd have something helpful to say. All I hear is a bunch of moaning about something that you could fix if you weren't too busy searching for attention.

    http://bobswitzer.com/__media__/js/netsoltrademark.php?d=www.bulknearme.com/

    June 13, 2021 at 10:04 | Report abuse | Reply
  24. home goods near me

    http://iplawseminars.com/__media__/js/netsoltrademark.php?d=www.hootnholler.net

    June 13, 2021 at 10:31 | Report abuse | Reply
  25. 인천아파트분양

    Because the admin of this web site is working,
    no question very rapidly it will be famous, due to its quality contents.

    June 13, 2021 at 10:46 | Report abuse | Reply
  26. wells fargo bank near me

    I could not refrain from commenting. Well written!

    http://checkstarfirst.com/__media__/js/netsoltrademark.php?d=www.bestshopnearme.com

    June 13, 2021 at 11:49 | Report abuse | Reply
  27. appliance store near me

    This page certainly has all the info I wanted about this subject and didnít know who to ask.

    http://corewebapps.net/__media__/js/netsoltrademark.php?d=www.bestservicenearme.com/

    June 13, 2021 at 12:30 | Report abuse | Reply
  28. lawn care near me

    http://www.coldsaws.com/__media__/js/netsoltrademark.php?d=nearmyspot.com/

    June 13, 2021 at 14:58 | Report abuse | Reply
  29. cheap gas near me

    http://www.cheese-making.net/__media__/js/netsoltrademark.php?d=bestservicenearme.com

    June 13, 2021 at 16:03 | Report abuse | Reply
  30. humane society near me

    http://edwardmarsh.com/__media__/js/netsoltrademark.php?d=www.quotenearme.com/

    June 13, 2021 at 17:38 | Report abuse | Reply
  31. mbee.com.vn

    You really make it seem really easy with your presentation but I in finding this matter to be
    actually one thing that I feel I would by no means understand.
    It seems too complex and extremely wide for me. I am having a look
    forward on your next publish, I'll try to get the dangle of it!

    June 13, 2021 at 20:13 | Report abuse | Reply
  32. drive-thru testing near me

    A motivating discussion is definitely worth comment. I do believe that you should write more on this topic, it might not be a taboo subject but generally folks don't talk about such subjects. To the next! Cheers!!

    http://www.gwtw-kites.com/__media__/js/netsoltrademark.php?d=boosterpackforlife.com

    June 13, 2021 at 21:32 | Report abuse | Reply
  33. malls near me

    http://digicelha.com/__media__/js/netsoltrademark.php?d=spokanevalleywebdesign.com

    June 13, 2021 at 22:29 | Report abuse | Reply
  34. casino near me

    https://www.lnfcu.com/helpers/choice.asp?h=www.sprintervanrepairshop.com/

    June 14, 2021 at 01:04 | Report abuse | Reply
  35. nursery near me

    http://texasonline.com/__media__/js/netsoltrademark.php?d=http://internetmarketingwashington.com

    June 14, 2021 at 02:29 | Report abuse | Reply
  36. dq near me

    I need to to thank you for this great read!! I absolutely loved every bit of it. I've got you bookmarked to look at new things you postÖ

    https://ww17.dummy.com/__media__/js/netsoltrademark.php?d=https://www.newwavevisual.com/

    June 14, 2021 at 05:57 | Report abuse | Reply
  37. motels near me

    http://www.community.nxp.com/t5/custom/page/page-id/ExternalRedirect?url=http://immigrants.co

    June 14, 2021 at 06:03 | Report abuse | Reply
  38. appliance parts near me

    http://www.scanverify.com/siteverify.php?site=http://www.bulknearme.com

    June 14, 2021 at 07:53 | Report abuse | Reply
  39. emergency room near me

    Pretty! This was an incredibly wonderful article. Thank you for supplying this info.

    https://bing.com/news/apiclick.aspx?ref=FexRss&aid=&url=https://www.thehighriseco.shop/

    June 14, 2021 at 09:18 | Report abuse | Reply
  40. realtors near me

    Hi, I do think this is a great web site. I stumbledupon it 😉 I will revisit once again since I book-marked it. Money and freedom is the best way to change, may you be rich and continue to guide others.

    http://www.asiawebdirect.com/customer/recommend/?url=http://www.fleetservicesorangecounty.com/

    June 14, 2021 at 10:54 | Report abuse | Reply
  41. nails near me

    Iím impressed, I must say. Rarely do I come across a blog thatís equally educative and amusing, and without a doubt, you've hit the nail on the head. The issue is something not enough folks are speaking intelligently about. Now i'm very happy I stumbled across this in my search for something relating to this.

    http://urm.org/n/november-splash/?redirect_to=http://www.abletonplugins.com

    June 14, 2021 at 11:16 | Report abuse | Reply
  42. beauty supply store near me

    http://horizoninteractiveawards.com/index.php?URL=postfallsvideographer.com

    June 14, 2021 at 11:30 | Report abuse | Reply
  43. instant covid testing near me

    Good info. Lucky me I found your site by chance (stumbleupon). I have book marked it for later!

    https://yellowpages.sfexaminer.com/__media__/js/netsoltrademark.php?d=marketingpostfalls.com/

    June 14, 2021 at 13:43 | Report abuse | Reply
  44. garage sales near me

    http://pt-br.paltalk.com/client/webapp/client/External.wmt?url=http://www.veteranautoglass.com

    June 14, 2021 at 16:21 | Report abuse | Reply
  45. family dollar near me

    http://orders.gazettextra.com/AdHunter/Default/Home/EmailFriend?url=wavesplugins.com/

    June 14, 2021 at 17:49 | Report abuse | Reply
  46. RV Repair Near My Location

    You are so awesome! I do not believe I've read through a single thing like this before. So good to find somebody with genuine thoughts on this issue. Really.. thank you for starting this up. This site is one thing that is required on the internet, someone with a little originality!

    http://www.meinvz.net/Link/Dereferrer/?http://www.ocrvcenter.com/motorhome-service-near-me

    June 14, 2021 at 23:16 | Report abuse | Reply
  47. RV Repair Mission Viejo

    http://www.dartn.de/redirect/?url=http://ocrvcenter.com/rv-repair-shop-norco-california

    June 15, 2021 at 00:12 | Report abuse | Reply
  48. RV Repair Shops Near Me

    Excellent article! We are linking to this particularly great post on our site. Keep up the good writing.

    http://local.kbzk.com/__media__/js/netsoltrademark.php?d=https://ocrvcenter.com/motorhome-bed-repair-near-me/

    June 15, 2021 at 05:21 | Report abuse | Reply
  49. RV Repairs Near My Location

    I could not refrain from commenting. Exceptionally well written!

    https://haltern-am-see.de/Inhalte/Startseite/Tourismus/Sport_Freizeit/Vereine/index.asp?db=17&form=RedirectAction&redirecturl=http://ocrvcenter.com/rv-repair-shop-rialto-california&druckansicht=ja

    June 15, 2021 at 05:42 | Report abuse | Reply
  50. Sprinter Repair Orange County

    Hello there! I just would like to offer you a big thumbs up for the great information you have got here on this post. I will be returning to your website for more soon.

    https://localbusiness.pressdemocrat.com/__media__/js/netsoltrademark.php?d=https://ocrvcenter.com/rv-repair-shop-covina-california/

    June 15, 2021 at 06:47 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Post a comment


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.