Treatment: Most pyogenic granulomas resolve after shave removal and curettage with cautery of the base of the lesion. These tumors do have a propensity to recur, and occasionally an elliptical excision is required for removal. Application of silver nitrate and laser ablation with the pulsed dye laser have been used successfully. If the pyogenic granulomas are drug induced, stopping the offending medication is sometimes effective in resolving them. However, many cases of medication-induced pyogenic granulomas require some method of surgical removal.