Vulvar Lobular Capillary Hemangioma (Pyogenic Granuloma)

Abstract

Pyogenic granuloma is a relatively common skin growth. The skin of the head, neck, upper trunk, and hands and feet and the oral mucosa and gingiva are the most common sites, but it seldom appears on the female genitalia. A 52-year-old woman presented with a lobulated lesion on the right labia majora. The surface of the lesion was reddish and bled occasionally. The lesion was excised and histopathology revealed features suggestive of lobular capillary hemangioma (pyogenic granuloma). Pyogenic granuloma is considered a reactive hyperproliferative vascular response to trauma or other stimuli. The name “pyogenic granuloma” is a misnomer since the condition is not associated with pus and does not represent a granuloma histologically. There are a few cases of lobular capillary hemangioma of the glans penis but it is rare on the female genitalia. We present this case to help physicians become aware that lobular capillary hemangiomas may occur at this site.