Pyogenic Granuloma grow rapidly over weeks. The raised lesion is is round to oval nodule, and usually around 5-10 mm in size. The Vascular nature of the tumour makes it shiny and red in colour and could be described as looking like a raspberry. The lesion will feel quite soft, and bleeds easily. They can also ulcerate causing a crust over the lesion or around base of the lesion.
In pregnancy, this growth is often found on the lips or gums and is called oral mucosal pyogenic granuloma.
The most important alternative diagnoses are amelanotic melanoma, Spitz nevus, nodular BCC and SCC. Of these alternatives, amelanotic melanoma is the big one not to miss.