Gravid Nasal Mass

  • Jeyasakthy Saniasiaya ORL Department, Hospital Selayang
  • Shalini Ramasamy
  • Maasany Mansor
  • Zainal Azmi Zainal Abidin


Pyogenic granuloma is a benign lesion of the mucous membrane and skin which commonly occurs in the oral cavity. Nasal cavity involvement is considered to be rare. Albeit uncommon, it has been linked with pregnancy, trauma and usage of oral contraception. Herein, we would like to report a rare case of pyogenic granuloma of the nasal septum in a pregnant female. We would like to highlight the presentation and management of this case in a pregnant patient. Pyogenic granuloma may be overlooked following its rarity and we would like to emphasize that management ought to be individualized. This case is to emphasize importance of awareness of Pyogenic granuloma of the nasal cavity in pregnancy as it is oftentimes misdiagnosed as maliganacy.


Akyol MU, Yalciner EG, Dogan AI. Pyogenic granuloma (lobular capillary hemangioma) of the tongue. Int J Pediatr Otorhinolaryngol. 2001;58:239-41.

Hartzell MB. Granuloma pyogenicum. J Cutan Dis Syph. 1904;22:520-5.

Miller FR, D’Agostino MA, Schlack K. Lobular capillary hemangioma of the nasal cavity. Otolaryngol Head Neck Surg. 1999;120:783-84.

Puxeddu R, Berlucchi M, Ledda GP Parodo G, Farina D, Nicolai P. Lobular capillary hemangioma of the nasal cavity: A retrospective study on 40 patients. Am J Rhinol. 2006;20:480-4.

Ozcan C, Apa DD, Gorur K. Pediatric lobular capillary hemangioma of the nasal cavity. Eur Arch Otorhinolaryngol.2004;261:449-51.

Delbrouck C, Chamiec M, Hassid S, Ghanooni R. Lobular capillary hemangioma of the nasal cavity during pregnancy. J Laryngol Otol. 2011;125:973-77.

El-Sayed Y, al-Serhani A. Lobular capillary hemangioma (pyogenic granuloma) of the nose. J Laryngol Otol. 1997;111:941-5.

Sills ES, Zegarelli DJ, Hoschander MM, Strider WE. Clinical diagnosis and management of hormonally responsible oral pregnancy tumor (pyogenic granuloma). J Reprod Med. 1996;41:467-70.

Nthumba PM. Giant pyogenic granuloma of the thigh: a case report. J Med Csae Reports. 2008;2:95.Patrice SJ, Wiss K, Mulliken JB. Pyogenic granuloma (Lobular capillary hemnagioma): A clinicopathologic study of 178 cases. Pediatr Dermatol. 1991;8:267-76.