Reliable Treatment of Pyogenic Granuloma of the Hand

Abstract

Pyogenic granuloma (PG) is a common skin tumour whose aetiology is unknown. There is a significant recurrence rate whatever method of treatment is used, and there are many studies in the literature on the treatment of recurrence. In our experience, the most effective way of preventing recurrence is the complete removal of the tumour using the microscope, operating in a bloodless field. Only then can the whole tumour with its supply vessels be reliably removed. 20 cases of PG on the hand, three cases in the shoulder-neck area and one case on the foot have been treated in our department over a period of 4 years. Five of these were recurrences and all involved the hand. Three of these were infected. 17 patients were followed for 3 months to 3.5 years. There were no recurrences in these patients, all of whom were operated on using the method described above.

Comparison of cryotherapy and curettage for the treatment of pyogenic granuloma: a randomized trial

“…Spontaneous involution of lesions is uncommon but has been reported 1 . Possible treatment methods are topical and systemic glucocorticoids, excision, curettage, cryotherapy, sclerotherapy, chemical and electrical cauterization, radiotherapy, and the use of lasers 1–10 …”

Topical Phenol as a Conservative Treatment for Periungual Pyogenic Granuloma

“…17 In both cases, the condition arises rapidly after a frictional onycholysis subsequent to prolonged walking. 5 This benign periungual tumor can be completely cured with full-thickness excision of the skin, including the base of the lesion, 3,18,19 but because surgical excision often results in a conspicuous scar and anesthesia is required, more conservative treatment is often preferred. 20 Many different treatments have been used for pyogenic granuloma, with variable success rates.…”

Complications of Nail Surgery: A Review of the Literature

“…Excision with cautery, scalpel, laser, or silver nitrate application may be performed. Recurrence is common except after total excision of surrounding healthy tissue as well as any feeding blood vessels 14,20 …”

“…Recurrence is common except after total excision of surrounding healthy tissue as well as any feeding blood vessels. 14,20…”