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KMID : 0903220100110010062
Journal of the Korean Cleft Palate-Craniofacial Association
2010 Volume.11 No. 1 p.62 ~ p.64
Intravenous Pyogenic Granuloma in Sentinel Vein: A Case Report
Hong Ki-Yong

Jeong Eui-Cheol
Min Xiang-Hua
Minn Kyung-Won
Lee Young-Jik
Abstract
Purpose:Lobular capillary hemangioma is a vascular tumor that commonly occurs as a cutaneous lesion. Intravenous pyogenic granuloma is a rare form of lobular capillary hemangioma that usually occurs in the veins of the neck and the upper extremities.

Methods:A 41-year-old man presented with 3 months history of nodules on the left temporal area and these lesions were clinically mistaken for a typical lipoma or epidermal cyst, but the nodules appeared unusually vascular with sentinel veins on excision.

Results:On the histopathologic examination, the excised tissue was observed as an intraluminal polypoid mass, which was attached to the vein via a fibrovascular stalk and capillaries in a loose edematous fibromyxoid stroma, and so the lesions were confirmed to be intravenous pyogenic granuloma. At 6 months after excision, there has been no recurrence and the patient is asymptomatic.

Conclusion:Intravenous pyogenic granuloma is a rare variant of lobular capillary hemangioma. This article describes the surgical and histopathological findings of treating pyrogenic granuloma.
KEYWORD
Iintravenous pyogenic granoloma, Lobular capillary
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