Successful Diode Laser Management of a Lip Pyogenic Granuloma in a Patient With Anemia.

Introduction

Pyogenic granuloma (PG) is a benign vascular lesion prone to significant bleeding when manipulated. High-power lasers provide key advantages, including precise incision, vaporization, and hemostasis, when managing such lesions, enhancing both intraoperative efficiency and postoperative recovery.

Methods

This report describes the diagnosis and surgical excision of a large PG on the lower lip of an anemic patient using a high-power diode laser.

Results

A 30-year-old female patient presented with a nodular, erythematous, pedunculated lesion with firm consistency and an ulcerated surface, measuring approximately 2 cm. Initial evaluation revealed severe anemia (hemoglobin level of 6 g/dL) caused by a uterine fibroid. After partial improvement of the anemia, an excisional biopsy of the lesion was performed using a high-power diode laser, which provided effective hemostasis during surgery and no postoperative complications. Histopathological examination of the excised tissue confirmed the diagnosis of PG.

Conclusion

This case highlights the efficacy and safety of high-power diode lasers in managing oral lesions, especially in the management of systemic conditions such as anemia. The laser's ability to ensure precise excision and effective hemostasis demonstrates its potential as an indispensable tool in modern minimally invasive surgical approaches, particularly in aesthetic and medically complex cases.