A rapid growing pyogenic granuloma arising from a rare site of the auricle. Clinical Image A 34-year-old woman presented with a pedunculated, round, and congested lesion on her left auricle that had grown rapidly within 5 days. Three weeks before presentation, a nodule had ruptured over the same auricle. The wound started as a small lump on the concha of the auricle. The patient scratched the lesion; then the lesion bled and became smaller. However, the lesion recurred and progressively increased in size until it protruded from the auricle (Figure 1A). Based on these clinical manifestations, it was suggestive of a pyogenic granuloma. The lesion was excised completely under local anesthesia. Histopathological examination confirmed the diagnosis (Figure 2). After excision, there was minimal scarring of the concha surface and no evidence of recurrence in the follow-up (Figure 1B). Although the etiologies of pyogenic granuloma are unclear, the factors of female sex hormones, chronic irritation, and trauma may have a risk to its development. 1-3 Excisional surgery is suggested, but cryosurgery, laser surgery, and electrodissection are recommended to avoid scar formation and deformity. 1