J Korean Cleft Palate-Craniofac Assoc.  2010 Apr;11(1):62-64.

Intravenous Pyogenic Granuloma in Sentinel Vein: A Case Report

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Research Institue of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea. ejeong@kma.org
  • 2Department of Plastic Surgery, SMG-SNU Boramae, Seoul, Korea.
  • 3Department 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.

Keyword

Iintravenous pyogenic granoloma; Lobular capillary

MeSH Terms

Adult
Capillaries
Epidermal Cyst
Granuloma
Granuloma, Pyogenic
Humans
Lipoma
Neck
Nitriles
Pyrethrins
Recurrence
Upper Extremity
Veins
Nitriles
Pyrethrins
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