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Case Reports in Medicine
Volume 2011, Article ID 201901, 3 pages
Case Report

Vulvar Pyogenic Granuloma in a Postmenopausal Woman: Case Report and Review of the Literature

1Department of Obstetrics and Gynecology, Kahramanmaras Sutcuimam University Medical Faculty, 46050 Kahramanmaras, Turkey
2Department of Pathology, Kahramanmaras Sutcuimam University Medical Faculty, 46050 Kahramanmaras, Turkey
3Department of Obstetrics and Gynecology, Sereflikochisar State Hospital, 06950 Sereflikochisar, Ankara, Turkey

Received 15 February 2011; Revised 8 July 2011; Accepted 8 July 2011

Academic Editor: Edward V. Craig

Copyright © 2011 Deniz Cemgil Arikan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Although pyogenic granulomas (PG) are common and benign vascular proliferations of the skin and mucous membranes, they are relatively rare on the vulva. Case Presentation. A 57-year-old G7P7 postmenopausal woman presented with a 3-year history of a foul smell and bleeding lesions in the genital region. A gynecologic examination revealed multiple large papillomatous, pedunculated, and lobulated lesions that were cherry-red and infective in appearance. There was a 2-cm lesion at the upper intersection of the labia majora, a 2-cm lesion on the right labium majus, and a 4-cm lesion on the clitoris. The patient complained of itching, and the lesions were asymptomatic, except for occasional bleeding. All lesions were excised and sent for histopathological examination, which revealed an ulcerated polypoidal structure with extensive proliferation of vascular channels lined by a single layer of endothelium. The histopathological features were consistent with PG. Conclusion. The present case is the first case of multiple pyogenic granulomas on the vulva in a postmenopausal woman.