Skin nonmelanocytic tumor
Vascular tumors
Hemangioma variants
Lobular capillary hemangioma
Author: Christopher S. Hale, M.D.
Last author update: 1 August 2012
Last staff update: 19 September 2023
Copyright: 2003-2024, PathologyOutlines.com, Inc.
PubMed search: pyogenic [title] granuloma skin
Table of Contents
Definition / general | Treatment | Clinical images | Gross description | Microscopic (histologic) description | Microscopic (histologic) images | Differential diagnosisCite this page: Hale CS. Lobular capillary hemangioma. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/skintumornonmelanocyticpyogenicgranuloma.html. Accessed April 26th, 2024.
Definition / general
- Very common; rapidly growing polypoid red mass surrounded by thickened epidermis, often in finger or lips
- Also called granuloma pyogenicum, lobular capillary hemangioma
- May be associated with keratinous cyst
- Benign, often regresses spontaneously
- May be disseminated, occur within port wine stains, be in deep dermis / subcutis or be intravenous
Variants:
- Classic polypoid, dermal, subcutaneous, intravenous, eruptive, with multiple satellites
Treatment
- None or excision (may recur as multiple satellites)
Clinical images
Contributed by Mark R. Wick, M.D. and @JMGardnerMD on Twitter
typeclin.jpg)
Pyogenic granuloma
Lobular capillary hemangioma
Gross description
- Fleshy cutaneous tumor
Microscopic (histologic) description
- Lobular pattern of vascular proliferation with inflammation and edema resembling granulation tissue
- Thin epidermis at top with variable ulceration
- Acanthosis and hyperkeratosis at sides
- Central branching vessel is called capillary or vascular lobule, with no / rare red blood cells, surrounded by endothelial cells
- Variable mitotic activity
- Deep lesions often lack edema and inflammation
Microscopic (histologic) images
Contributed by Mark R. Wick, M.D. and @JMGardnerMD on Twitter
type.jpg)
typemicr.jpg)
typemicro.jpg)
Pyogenic granuloma
Lobular capillary hemangioma
Images hosted on other servers:
Low magnification
Differential diagnosis
- Acrodermatitis
- Bacillary angiomatosis
- Benign (infantile) hemangioendothelioma
- Reactive angioendotheliomatosis
- Venous stasis
- Verruga peruana
