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Clinical Problem Solving: Pathology
September 20, 2010

Pathology Quiz Case 2: Diagnosis

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Arch Otolaryngol Head Neck Surg. 2010;136(9):932-933. doi:10.1001/archoto.2010.138-b

Lobular capillary hemangioma is a benign vascular lesion that was originally referred to as human botrymycosisand thereafter known by other synonyms, the most common of which was pyogenic granuloma. However, the misnomer pyogenic granulomahas fallen out of favor as there is no evidence of infection or granuloma in these lesions. The term lobular capillary hemangiomawas suggested by Mills et al1in 1980. This term emphasized the distinctive pathologic features of the lesion as described below. There is controversy regarding their pathogenesis, with some authors considering them neoplastic and others favoring a reactive process.

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