Pyogenic Granuloma on the Chest of a 13-Year-Old Boy

A 1 × 0.5-cm hemorrhagic, polypoid lesion that had been present for 2 months on a 13-year-old boy's left anterior chest was excised. Pathologic examination confirmed the diagnosis of pyogenic granuloma.

Most frequently seen in children and young adults, these benign vascular lesions grow rapidly and commonly erupt on the head, neck, and extremities. “Pyogenic” is a misnomer, since no infectious process is involved; most likely, trauma is the cause of these lobular capillary hemangiomas.

Spontaneous regression usually occurs within 6 months. Surgical excision and examination can confirm the diagnosis and rule out a malignancy. Electrodesiccation and curettement may be performed but must be complete to avoid recurrence.

(Case and photograph courtesy of Robert P. Blereau, MD.)