Journal of the Korean Cleft Palate-Craniofacial Association  2010;11(1):62-64

Intravenous Pyogenic Granuloma in Sentinel Vein: A Case Report.

Ki Yong HONG 1 ; Eui Cheol JEONG ; Xianghua MIN ; Kyung Won MINN ; Young Jik LEE

Affiliations

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Keywords

Iintravenous pyogenic granoloma; Lobular capillary

Country

Republic of Korea

Language

Korean

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.