Scalp pyogenic granuloma: what to know

It often appears as a smooth or lobulated red lump that is soft, moist, or crusted. Minor knocks, brushing, or scratching may trigger bleeding. The name can be misleading: this growth is not caused by pus and is not the same as an infection. A new bleeding lump can resemble other skin growths, so visual inspection alone may not be enough; a dermatologist may examine it closely and decide whether a sample is needed.

Do not pick, squeeze, or shave over the area. If it bleeds, press a clean dressing firmly against it without repeatedly lifting the dressing to check. Arrange a dermatology appointment, particularly if it is enlarging, catching on clothing, or bleeding more than once. Removal options can include [Curettage And Cautery](/treatments/surgical-dermatology/curettage-and-cautery/), depending on its size, position, and examination findings.

Seek prompt medical help if bleeding does not settle with sustained pressure, the lump becomes very painful, or the surrounding skin becomes increasingly warm, swollen, or draining. Urgent assessment is also sensible for a rapidly changing growth or one that is associated with fever or feeling unwell.

Could this be a pyogenic granuloma or another type of scalp growth? Does it need a biopsy? Which removal method fits its location, and how should I protect the area while it heals?