A ________________ is a pedunculated, benign, red, vascular lesion of the palpebral conjunctiva.

• A. Pyogenic granuloma
• B. Hemangioma
• C. Conjunctival nevus
• D. Pterygium

Answer: (A)

A pyogenic granuloma is a pedunculated, benign vascular lesion of the palpebral conjunctiva. It’s a lobular capillary hemangioma that often forms after irritation or trauma and presents as a bright red, friable mass on the eyelid margin with a stalk. Its vascular nature explains the easy bleeding and vivid color.

Other conjunctival lesions differ in key ways. A conjunctival nevus is typically pigmented and not a red vascular mass. A conjunctival hemangioma can be vascular but generally isn’t described as a pedunculated lesion of the palpebral conjunctiva. A pterygium is a fibrovascular growth that extends from the conjunctiva onto the cornea and is not a pedunculated mass on the palpebral conjunctiva.