Palmar pyogenic granuloma in pregnancy: a rare case managed with postpartum excision

Pyogenic granuloma (PG) is a benign vascular lesion that commonly occurs in the oral cavity during pregnancy, whereas cutaneous involvement of the hand is rare. I report a 33-year-old gravida 3 para 2 who presented at 39 weeks of gestation with a rapidly enlarging palmar mass measuring ~3 cm. The lesion became friable and interfered with hand function. Magnetic resonance imaging demonstrated a well-defined exophytic lesion confined to the superficial tissues without deep involvement. Surgical excision was performed four weeks postpartum under local anesthesia with sedation. Histopathological examination confirmed lobular capillary hemangioma with focal ulceration, granulation tissue, and reactive epithelial changes; immunohistochemistry for HHV-8 was negative. The postoperative course was uneventful, and no recurrence was observed at eight-week follow-up.