What should you know about a large pyogenic granuloma?

Pyogenic granuloma, also called lobular capillary haemangioma, is a small overgrowth of blood vessels in the skin or mucous membrane. It may appear smooth or lobulated, bright red, purple or brown as it changes. A narrow attachment or a broad base is possible. Minor trauma, irritation, hormonal change or some medicines may be associated with its development, although a clear trigger is not always found.

Its rapid growth and easy bleeding can resemble other skin growths. A clinician may inspect it closely and decide whether tissue examination is needed rather than relying on appearance alone.

Do not pick, cut or try to tie off the lump. If it bleeds, apply firm, continuous pressure with clean gauze for several minutes without repeatedly lifting it to check. Keep the area protected from friction and arrange a dermatology visit. Treatment may involve removal with a technique such as curettage and cautery; the choice depends on its size, site, attachment and bleeding pattern. Follow wound-care instructions carefully afterward.

Seek prompt care if bleeding does not settle with sustained pressure, the lump is growing quickly, becomes very painful, develops spreading redness or drainage, or interferes with eating, seeing or movement. Urgent assessment is appropriate for heavy bleeding, faintness or signs of infection.

Ask whether the diagnosis is secure, whether the whole lump should be removed for examination, which procedure fits its location, how to manage bleeding, and what signs of recurrence or infection to watch for.