Pyogenic Granuloma of the Vulva: A Rare Presentation

Objective: Pyogenic granuloma is a relatively common skin growth. The skin of the head, neck, upper trunk, hands, and feet, and the oral mucosa and gingival mucosa are the most common sites, but pyogenic granuloma seldom appears on female genitalia. Case: A-52-year-old woman presented with a solitary lesion on her left labia majora, with a 2 year history of sexual dysfunction, pain, and cosmetic problems. The surface of the lesion was thickened, mimicking a sebaceous cyst. The lesion was excised and histopathology testing revealed features suggestive of a lobular capillary hemangioma (pyogenic granuloma). Results: On follow-up, no recurrence of the lesion was found in this patient. Conclusions: Pyogenic granuloma is considered to be a reactive, hyperproliferative vascular response to trauma or other stimuli. These lesions can undergo spontaneous involution; thus, treatment may be reserved for those lesions of functional or psychologic concern. In this case, surgical correction was used both as a diagnostic method and as a therapeutic intervention because of progressive complaints, such as pain, cosmetic concerns, and sexual dysfunction. There are a few cases of lobular capillary hemangioma of the glans penis but it is rare on the female genitalia. This case is presented to help physicians become aware that lobular capillary hemangioma may occur at this site.