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A Case of Giant Proliferative Periocular Pyogenic Granuloma
Fatima Zehra1, Khaled Al-Tarrah1, Karthikeyan GovindanSrinivasan1
1Department of Plastic Surgery, Queen Elizabeth Hospital, Birmingham, UK.
Orbit (Amsterdam, Netherlands)
|November 12, 2020
Summary
A rare giant pyogenic granuloma (PG) developed in ocular adnexa without prior trauma. Surgical excision is recommended for effective management and histological confirmation.
Area of Science:
- Ophthalmology
- Dermatology
- Pathology
Background:
- Pyogenic granuloma (PG) commonly presents as a benign vascular anomaly on the skin and occasionally mucosa.
- Ophthalmic surgeons frequently encounter PGs as small, red papules after conjunctival surgery or trauma.
Observation:
- A unique case of a large, disfiguring pyogenic granuloma involving both mucosal and non-mucosal ocular adnexa is presented.
- This occurred in a 43-year-old male with no prior surgery, trauma, or significant medical history.
Findings:
- The lesion was successfully managed with surgical excision and primary closure.
- Histological examination confirmed the diagnosis and guided treatment.
Implications:
- Surgery is advocated as the primary treatment for extensive pyogenic granulomas, ensuring low recurrence rates.
- Histological confirmation is crucial to differentiate from malignant eyelid tumors like keratoacanthoma and squamous cell carcinoma.
