Pyogenic Granuloma of Nasopharynx: A Rare Case Report

This article reports the case of a 47 years old female patient with pyogenic granuloma, which was surgically managed. However, to our knowledge, there is no report of a PG arising from nasopharynx to date. The etiology of pyogenic granuloma (PG) is unclear; it is a reactive tumor-like lesion arising by various stimuli. On October 15th, 2018, a 47-years old Saudi female presented with nasal obstruction for one month. The patient's complaint was associated with on/off epistaxis, headache and allergic symptoms. On examination, she had pedunculated nasopharyngeal lesion. Radiological studies revealed a right nasal cavity mass, a lesion in the nasopharynx without extension to the adjacent structures. Removal of the lesion by nasoscope and cauterization of the base were done. Histopathology revealed vascularized granulation tissue with ulcerated epithelium and fibrinous exudates. Nasopharyngeal pyogenic granuloma is rare. It is one of the differential diagnosis of nasal bleeding.