The hosts went down to 10 men in the 29th minute when goalkeeper Mattia Perin was sent off for fouling Radja Nainggolan in the box.
Adem Ljajic took the penalty but it was saved with substitute keeper Eugenio Lamanna's first touch.
However, nine minutes later Nainggolan scored the only goal with an acrobatic volley from a Maicon cross.
Roma wasted chances to increase the lead through Ljajic and Miralem Pjanic, and nearly paid for their profligacy when Genoa's Tomas Rincon headed the ball into the roof of the net in the last minute of injury time, only for officials to rule it out for off-side.
The result means Roma take advantage of Juventus's 1-1 draw with Sampdoria to close the gap at the top of Serie A.
Genoa dropped down to fifth, below city rivals Sampdoria on goal difference.
source: bbcsport.com
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