A 28-year-old female patient (not pregnant) presents with a painless, vascular, pedunculated red lesion on the gingiva that bleeds easily. What is the MOST likely diagnosis?

A Pyogenic granuloma (lobular capillary hemangioma) is a benign, vascular, red, pedunculated soft tissue growth that bleeds easily. It is NOT caused by pyogenic bacteria — the name is a misnomer. It is a reactive hyperplastic response to minor trauma, hormonal changes (pregnancy granuloma), or local irritation. It appears on the gingiva most commonly. In a non-pregnant woman, it is still common from local irritants. Treatment is surgical excision with elimination of the cause.