Granuloma pyogenicum of the palpebral conjunctiva

Four cases of granuloma pyogenicum involving the palpebral conjunctiva are reported. Two of them reported with bloody tears; the lesion was pedunculated and arose close to the upper fornix in one patient and from the subtarsal sulcus of lower lid in the other. The remaining two patients presented with large, flat, wing-like masses arising from the upper tarsal conjunctiva. In all four cases the lesion was painless and each developed without antecedent inflammatory or traumatic episode. They were treated with complete surgical excision and thorough fulguration of the base by diathermy. There was no recurrence in any of them after three to six years follow-up.