Lobular Capillary Haemangioma - A Series of Three Cases

Lobular Capillary Haemangioma - A Series of Three Case

Abstract

Lobular capillary hemangioma (Pyogenic Granuloma - PG) is a common benign vascular lesion of the skin and mucosa. It is a reactive enlargement that is an inflammatory response to local irritation such as calculus, fractured tooth, minor trauma, rough dental restorations etc. It is mostly seen in second decade of life in young females. Clinically, presents as smooth or lobulated exophytic lesion manifesting as small, red erythematous papules on pedunculated or sessile base, which is usually hemorrhagic. The surface ranges from pink to red to purple ranging from few mm to several cms. Gingiva is the most common site affected followed by buccal mucosa, tongue and lips. Although surgical excision is treatment of choice , some other treatment protocols such as use of Nd:YAG laser,cryosurgery, intralesional injection of steroid and sodium tetradecyl sulfate have been proposed. We report a series of three cases of pyogenic granuloma managed by surgical intervention.