D. Hewitt, J. Bui, J. Tu
Pyogenic granuloma is a rapidly developing, non-neoplas- tic vascular proliferation. It characteristically presents as a friable, verrucous polypoid tumour, with a tendency to bleed, and association with hormonal factors and minor trauma. Conventional treatment of pyogenic granuloma is with surgical techniques such curettage and cauterisation or imiquimod therapy. We present this case of a 58-year- old man on haemodialysis with a pyogenic granuloma over the anterior chest wall. The location of the lesion, adjacent to a Hickman line, and a palpable deeper component, proved problematic for routine surgical excision. An alter- native approach was taken, and the lesion treated with intralesional steroid injection, a method infrequently described for cutaneous pyogenic granuloma. We aim to review the treatment options of pyogenic granulomas, dis- cuss implications for surgically challenging PG lesions and present our results with intralesional triamcinolone.