DIFFERENT THERAPEUTIC MODALITIES IN TWO PEDIATRIC CASES WITH PYOGENIC GRANULOMA

Abstract

Pyogenic granuloma (GP) is a benign vascular tumor that occurs spontaneously on the skin and mucosa, grows rapidly, has a brittle surface and bleeds easily. Pyogenic granulomas occur in all age groups, but are most common in infants and children. Pyogenic granulomas therapy was classified as surgical and non-surgical. Surgical therapy includes excision, shave excision, electrodesiccation, electrocautery, punch excision/biopsy. Non-surgical therapies include cryotherapy, sclerotherapy, pulsed dye laser (PDL), intralesional injection, and topical. The first patient, a 9-year-old child with complaint of GP on the scalp since 1 month, was initially the size of a pea, but increased in size within 1 month. The patient underwent an elliptical excision, excision is expected to be able to take the proliferating tissue underneath, so that it has a low recurrence rate. The second patient, a 7-year-old child with GP, complained of a lump in the corner of the left lip since 2 weeks, at first it was a red spot, then it grew larger in size to 3x5 mm. The patient was subjected to shave excision first, then electrodesiccation. Combination of modalities is expected to prevent recurrence, and good cosmetic results. The selection is made based on area, size, facilities/equipment, skilled medical personnel, and patient preferences