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J Korean Cleft Palate-Craniofac Assoc. 2010 Apr;11(1):62-64. Korean. Case Report.
Hong KY , Jeong EC , Min X , Minn KW , Lee YJ .
Department of Plastic and Reconstructive Surgery, Research Institue of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea. ejeong@kma.org
Department of Plastic Surgery, SMG-SNU Boramae, Seoul, Korea.
Department of Pathology, Suncheon St. Carollo Hospital, Suncheon, Korea.
Abstract

PURPOSE: Lobular capillary hemangioma is a vascular tumor that commonly occurs as a cutaneous lesion. Intravenous pyogenic granuloma is a rare form of lobular capillary hemangioma that usually occurs in the veins of the neck and the upper extremities. METHODS: A 41-year-old man presented with 3 months history of nodules on the left temporal area and these lesions were clinically mistaken for a typical lipoma or epidermal cyst, but the nodules appeared unusually vascular with sentinel veins on excision. RESULTS: On the histopathologic examination, the excised tissue was observed as an intraluminal polypoid mass, which was attached to the vein via a fibrovascular stalk and capillaries in a loose edematous fibromyxoid stroma, and so the lesions were confirmed to be intravenous pyogenic granuloma. At 6 months after excision, there has been no recurrence and the patient is asymptomatic. CONCLUSION: Intravenous pyogenic granuloma is a rare variant of lobular capillary hemangioma. This article describes the surgical and histopathological findings of treating pyrogenic granuloma.

Copyright © 2019. Korean Association of Medical Journal Editors.