Granuloma Removal in Pune: Treating a Bleeding Red Bump

What is a granuloma?

The word granuloma is used for a few different lumps. The one most often removed by a surgeon is a pyogenic granuloma, also called a lobular capillary haemangioma. It is a benign growth of tiny blood vessels that forms a bright red, shiny lump, often on a short stalk. It usually appears after a small injury, such as a cut, a prick or an ingrown nail, and grows quickly over a few weeks.

Pyogenic granulomas are common in children and young adults and during pregnancy, and they can also be triggered by some medicines. They are harmless, but they bleed easily and heavily, catch on clothes, and can look alarming.

Other granulomas that may need removal are:

• Suture granulomas, around a buried stitch after surgery.
• Foreign-body granulomas, around a splinter, glass or other material.
• Granulation tissue around an ingrown toenail or a healing wound.

Who may benefit, and how is a granuloma assessed?

Removal is advised if the lump bleeds, keeps growing, is painful, gets in the way or is in a visible place. The doctor will examine the lump, ask how fast it grew and whether there was an injury, and check for medicines that can trigger granulomas. Because some skin cancers can look similar, the removed tissue is always sent to the laboratory.

What are the treatment options?

Option	What it can do	Limitations
Excision with stitches	Removes the whole lump and base; lowest recurrence	A fine line scar
Shave and cautery of the base	Quick; suits small lumps	Higher chance of recurrence
Freezing or laser	Treats small lesions	May need repeat sessions; less tissue for testing
Creams	Sometimes used for small lesions in children	Slow; not always effective
Removing the cause	Treats suture, splinter and nail-related granulomas	The cause must be found

How is granuloma removal performed?

1. Local anaesthetic: the area is numbed with a fine injection. For a finger, a ring block numbs the whole finger.
2. Removal: the lump is cut out with a small margin and its base, or shaved off and its base sealed with cautery.
3. Bleeding control: any bleeding is stopped with cautery.
4. Closure: the skin is closed with fine stitches, or the shaved area is covered with ointment and a dressing.
5. Laboratory: the tissue is sent for examination.

The small wound is closed so it heals with a fine scar. For other small growths that can be removed in the same visit, see skin tag, wart and mole removal.

How should you prepare, and what should you ask?

• If it bleeds before the visit, press firmly with a clean cloth for 10 minutes.
• Tell the doctor about blood thinners and any medicines you have recently started.

Questions to ask:

• Is this a pyogenic granuloma, or something else?
• Will you cut it out or shave it, and why?
• How likely is it to come back?

What is recovery like?

Time	What to expect for most patients
Same day	Home after the procedure; keep the dressing dry
Days 1-3	Mild soreness; light activity
Days 7-10	Stitches removed, if used; laboratory result discussed
Weeks 2-6	The scar fades from pink

What are the risks?

• Bleeding, usually controlled with pressure.
• Recurrence, more likely after shaving alone.
• Infection, uncommon.
• Scar, usually small; a raised scar is uncommon.
• Numbness around a finger wound, usually temporary.

Contact the clinic for bleeding that does not stop with 10 minutes of firm pressure, spreading redness, pus or fever.

What results can you expect?

The lump is gone, the bleeding stops and a small scar remains. The laboratory report confirms the diagnosis. Most granulomas do not come back after complete removal.

What affects the cost of granuloma removal in Pune?

• Size and site of the lump.
• Method: excision or shave and cautery.
• Laboratory examination and follow-up visits.