Cryotherapy in the treatment of pyogenic granuloma (original) (raw)
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Treatment of Pyogenic Granuloma with a Sclerosing Agent
Dermatologic Surgery, 2001
background. Pyogenic granulomas have been treated by cryosurgery, curettage, electrodesiccation, chemical cauterization, and laser surgery. The therapeutic effects of these conservative treatments are limited, however. objective. In this study, the efficacy of a sclerosing agent (monoethanolamine oleate) was evaluated for the treatment of pyogenic granuloma. methods. Pyogenic granuloma was treated by local injection of the monoethanolamine oleate solution in nine patients who were from 1 to 57 years of age (median 18 years). The treatment effect was determined by physical examination. results. All lesions were removed completely with no recurrence, and scars were inconspicuous in all cases. Complications occurred in only one patient who complained of pain due to an avoidable injection of excess solution. conclusion. Sclerotherapy with monoethanolamine oleate is effective in the treatment of pyogenic granuloma and offers an alternative to conventional methods in cases for which conservative treatment is preferable.
Pyogenic Granuloma - A Simple Treatment Approach with Sclerotherapy
2021
Pyogenic granuloma (PG) is a benign exophytic vascular tumor, which is actually a reactive inflammatory mass of blood vessels with few fibroblasts within the mucosa or skin, was first reported by Hullihen in 1844. Variety of treatment options such as surgical excision, laser treatment, electrodessication, chemical cautery, cryosurgery, intralesional steroid injection etc. are available, but many a times, recurrence has also been reported. Sclerotherapy is defined as the "targeted elimination of small vessels, varicose veins and vascular anomalies by the injection of a "sclerosant". It offers an alternative to conventional methods like surgery, lasers, radio frequency ablation and electrodesiccation procedure with success and less chance of recurrences. Herein, we present a case of 22 years old female with a clinical diagnosis of PG, treated with intralesional 0.2 ml of 3% sodium tetradecyl sulfate (STS). The lesion healed completely at the patient's 3 rd visit and recurrence was not reported till the patient was followed up for one year.
Sclerotherapy: a bloodless approach in treatment of pyogenic granuloma in children
International Journal of Dermatology, 2020
Pyogenic granuloma (PG) is a common, acquired tumor-like growth occurring on skin/mucous membranes. It is prevalent in the pediatric age group. It is benign in nature and is caused by chronic low grade trauma. It presents as pink to red elevated pedunculated or sessile mass. There are various treatment modalities including surgery, cryotherapy, laser, electrocautery, etc. However, the therapeutic effects are limited with high recurrence rates. The use of sclerotherapy for the treatment of pyogenic granuloma in children is not commonly reported. We present a case of PG on the scalp successfully treated with intralesional injection of sodium tetradecyl sulfate.
The Cryotherapy is a widely used treatment for various dermatological conditions, including warts, actinic keratosis, basal cell carcinoma, and keloid scars. While generally safe, potential complications of cryotherapy include blistering, hypopigmentation, hyperpigmentation, infection, scarring, subcutaneous emphysema, and pneumomediastinum. This report describes a rare case of extensive subcutaneous emphysema and pneumomediastinum following intralesional cryotherapy for a keloid. A 36-year-old female with a biopsy-proven keloid in the left scapular region, persisting for 30 years after surgery, underwent intralesional cryotherapy following eight unsuccessful sessions of intralesional steroid injections and superficial cryotherapy. One hour after the procedure, she presented with left shoulder, arm, and neck pain, swelling, dysphagia, and mild shortness of breath. Physical examination revealed subcutaneous crepitus, and thoracic CT confirmed subcutaneous emphysema and pneumomediastinum.
Resolution of recalcitrant pyogenic granuloma with laser, corticosteroid, and timolol therapy
Dermatology online journal
A pyogenic granuloma (PG) is a rapidly growing benign vascular tumor that can be found on the skin or subcutaneous tissue. While some pyogenic granulomas may resolve spontaneously, most have a tendency to bleed easily and require treatment. Current therapeutic modalities include topical imiquimod, cryotherapy, electrodessication, curettage, excision, laser therapy, sclerotherapy, and microembolization. We report a recalcitrant case of chronic pyogenic granuloma occurring on the scalp of a healthy young male which was unresponsive to conventional surgical and non-surgical modalities. Ultimately, aggressive laser therapy, intralesional triamcinolone acetonide injections, and topical timolol application led to complete resolution and healing.
Clinical practice trends in cryosurgery: a retrospective study of cutaneous lesions
Postȩpy dermatologii i alergologii, 2015
Cryosurgery is an alternative treatment for many benign, premalignant, and malignant lesions of the skin. To review the indications of cryosurgery for cutaneous lesions. The retrospective study was based on the assessment of medical records of 1031 dermatology patients who had cryosurgery. One thousand two hundred and forty-four sessions of cryosurgery were applied to the total of 1031 patients. Of the 1031 patients, the most frequent indication for cryosurgery was common warts which were present in 535 (61.59%) patients, followed by anogenital warts in 119 (11.54%) patients, callosity in 81 (7.85%) patients, actinic keratosis in 77 (7.46%) patients, molluscum contagiosum in 35 (3.39%) patients, and other benign or malignant skin lesions. Cryosurgery is still a valuable treatment of choice in various benign, premalignant, and malignant skin diseases but seems to be underused for indications other than viral warts.
Subcutaneous Emphysema Induced by Cryotherapy: A Complication due to Previous Punctures
Case Reports in Dermatological Medicine, 2015
Cryosurgery is a common therapeutic modality used in dermatology; therefore we must be aware of its possible adverse effects. We report a case of a patient with subcutaneous emphysema which occurred following the application of cryotherapy after multiple punctures of local anesthetic and intralesional steroids in a chest keloid scar. Despite the fact that this condition was gradually resolved after expectant observation, we warn about this complication when sprayed cryotherapy is preceded by multiple punctures on cutaneous lesions above bony surfaces. In similar settings, cryotherapy must be first administered or a cotton-tip applicator should be used.