Giant Pedunculated Tumour on the Finger

A 28‐year‐old female presented with a large, 3 cm × 2 cm skin‐coloured pedunculated growth arising from underneath the proximal nail fold of the left fourth digit [Figure 1] for the past 8 months. The lesion was non‐tender, had a lobulated consistency and a smooth surface. There was no history of recurrent bleeding, either spontaneously or following trauma. Radiologic examination did not reveal any connection with the underlying bone [Figure 2]. The lesion was completely excised under local anaesthesia by exposing the base of the peduncle with a diagonal incision running from the junction of the proximal and lateral nail folds till the distal crease towards the radial side of the hand. The wound was then closed primarily with a 6–0 non‐absorbable suture [Figure 3]. Clinical differential diagnoses of superficial acral fibromyxoma, lobular capillary haemangioma and acral fibrokeratoma were considered and specimen was sent for histopathological analysis. Haematoxylin and eosin analysis showed proliferation of capillaries arranged in a multilobular fashion occupying almost the entire dermis with multiple small intralobular capillaries exhibiting well‐differentiated lumina with extravasation of red blood cells [Figure 4a and b]. A final diagnosis of giant lobular capillary haemangioma (pyogenic granuloma) was established.

• Publication year

  2017

• Venue

  Journal of Cutaneous and Aesthetic Surgery

• Publication date

  2017-04-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.4103/JCAS.JCAS_13_17PMID 28852300PMCID 5561707
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

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