Vulvar Pyogenic Granuloma (Lobular Capillary Hemangioma)

Area of Science:

• Dermatology
• Gynecology
• Pathology

Background:

• Pyogenic granuloma (PG) is a common vascular lesion of the skin and subcutaneous tissue, typically affecting the face, trunk, and limbs.
• General surgeons are familiar with PG, but its presentation in specific locations can be unexpected.

Observation:

• A 42-year-old woman presented with a rapidly growing, glistening, ulcerative, pedunculated vulvar mass.
• Surgical excision and subsequent histopathology unexpectedly revealed the mass to be a pyogenic granuloma.

Findings:

• Pyogenic granuloma of the vulva is frequently misdiagnosed clinically.
• It represents the third most common vulvar vascular lesion.
• All reported cases of vulvar PG were confirmed post-histopathological examination.

Implications:

• Gynecologists should consider pyogenic granuloma in the differential diagnosis of polypoid vulvar masses.
• Increased awareness can lead to earlier and more accurate diagnosis of vulvar PG.
• Histopathological examination remains crucial for definitive diagnosis.