Tumor- Pyogenic Granuloma

Description: Pyogenic granuloma is a benign vascular tumor arising in the skin or mucous membranes. In the hand, it presents as a rapidly growing friable painless tumor which bleeds easily. It is usually attached by a stalk having a smaller diameter than the visible mass. Treatment is curettage and then cautery of the base with silver nitrate. Although reported to have a high recurrence rate in the hand, I believe that this reflects inadequate debridement because of the thickness of surrounding callus which is produced in hand lesions.