Vulvar Pyogenic Granuloma (Lobular Capillary Hemangioma)

BACKGROUND: Pyogenic granuloma (PG) is a common vascular lesion of the skin and subcutaneous tissue and is usually found on the face, trunk, and limbs. It is well known by general surgeons. CASE: A 42-year-old woman attended our clinic due to a rapidly growing, glistening, ulcerative, pedunculated vulvar mass. The mass was excised and subsequent histopathology revealed it as PG, which was completely unexpected. We reviewed the previous reported cases to investigate its clinical behavior, incidence, and management. CONCLUSION: PG of the vulva is a common clinical misdiagnosis. It is the third most common vulvar vascular lesion, but all the reported cases were diagnosed after histopathological examination. Gynecologists should include PG among the differential diagnoses of vulvar polypoid mass.