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Therapeutic Approach

Pyogenic granuloma (PG) is a benign vascular proliferation of skin and mucous membranes. The rapidly growing exophytic tumors are often pendulating and have a tendency to bleed. Secondary infections are possible. Causative factors are trauma and some medications, such as targeted tumor therapies. The most common sites of PG are fingers, toes, lips, and gingiva. The authors prefer topical corticosteroids for smaller lesions if a surgical approach is not wanted. All drugs listed are used off-label. For most cases we would prefer, however, diode laser therapy due to its rapid action and high efficacy. See Table 111-1.

Table 111-1Pyogenic Granuloma Treatment Table

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