case_images: PMC10583503_01
case_images: First presentation of pyogenic granuloma in the right ear.
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case_images: Physical examination showed a solitary, red, and soft mass in the right EAC, measuring 10 x 12 mm (Figure 1).
case_images: Histological examination shows a vascular proliferation arranged in a lobular pattern with inflammation.
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case_images: Histopathology examination showed a proliferation of small blood vessels that arranged in a lobular pattern with an inflammatory infiltration confirming the diagnosis of PG (Figure 2).
case_images: First recurrence after electrocautery and cryotherapy.
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case_images: Two previous treatment attempts with electrocautery and cryotherapy with a subsequent recurrence were recorded (Figure 3).
case_images: Second recurrence after surgical excision.
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case_images: Post-intervention follow-up showed recurrence 2 months afterward (Figure 4).
case_images: Third recurrence after silver nitrate cautery.
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case_images: Silver nitrate (AgNO3) cautery was applied three times over 10 days, but the lesion reappeared after 6 weeks (Figure 5).
case_images: Healing after beta-blocker with a session of silver nitrate cautery.
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case_images: The co-treatment for a month of silver nitrate cautery and a beta-blocker (3.125 mg PO carvedilol twice daily for 2 weeks, increased to 6.25 mg twice daily for the next 2 weeks) was performed (Figure 6).