A bleeding tumor of the foot: Botriomycoma
Botriomycoma or pyogenic granuloma is a benign vascular tumor very common in daily practice, which often sits at the extremities and is favoured by trauma. The evolution is often favorable enamelled by the frequency of recidivism; however some atypical or massively bleeding forms pose diagnostic and therapeutic difficulties.

The present case has been published in the PAN African Medical Journal. A 60-year-old woman presented with a history of a recessive infra-centimetre nodule of the second left toe. She complained of an increase of this nodule up to 3cm in diameter.

She was lost to follow-up for four months, and later presented for the same tumefaction which had become ulcerated and was massively bleeding. The tumor had increased in volume to reach 5cm of large diameter. Ultrasound showed a superficial and much vascularized tumor.

In view of the very haemorrhagic character and the repercussions on the general condition of the patient, a total resection of the tumor was done urgently and the histology was in favor of a botriomycoma without signs of malignancy. The evolution was favorable.

Most botriomyomas are small and at risk of recurrence, but rapidly progressive and massively bleeding tumor forms, as noted case, require rapid management and collaboration between dermatologist and plastic surgeon.

Source: https://pxmd.co/ooWYq