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Intravenous pyogenic granuloma of the hand
Ugur Kocer1, Hasan Mete Aksoy, Yigit Ozer Tiftikcioglu
1Plastic and Reconstructive Surgery Department, Ankara Training and Research Hospital, Mesrutiyet Cad. 17/12, 06640 Kizilay, Ankara, Turkey. ygit@hotmail.com
Background:
Intravenous pyogenic granuloma is the intravasal counterpart of cutaneous pyogenic granuloma. This rare, benign lesion appears clinically as a subcutaneous nodule usually located in the upper extremity or neck in middle-aged people. It is hard to make an exact diagnosis on clinical basis, and there is a risk of recurrence because of undertreatment.
Objective:
To report a case of an intravenous pyogenic granuloma located in the hand and to describe the clinical and histopathologic features of this rare vascular tumor.
Methods:
An operation was performed on a 58-year-old female who presented with a small, painless mass in the right palm, and the pathologic examination revealed an intravenous pyogenic granuloma.
Conclusion:
This rare lesion should be differentiated from a regular pyogenic granuloma and should be excised with the vein segment to avoid recurrence.