Lip cavernous hemangioma in a young child

Abstract

Hemangiomas are benign tumors of infancy and childhood, characterized by a phase of fast growth with endothelial cell proliferation, occurring in 10-12% of children at 1 year of age. It is known that hemangiomas of infancy are most commonly located on the head and neck region (around 60% of cases) and occur more frequently in the lips, tongue, and palate. Approximately 50% of hemangiomas have complete resolution, and 90% of them are resolved up to the age of 9. Complications occur in only 20% of the cases, the most common problem being ulceration with or without infection. The treatment depends on lesion location, size and evolution stage, and the patient's age. Surgery is usually indicated when there is no response to systemic treatments, or even for esthetic reasons, being performed as a simple excision in combination or not with plastic surgery. This paper reports a case of lip cavernous hemangioma in a 4-year-old child, who was submitted to 3 sessions of vascular sclerosis due to the size of the lesion, before undergoing simple excision of the hemangioma. Two years of postoperative clinical follow-up shows treatment success with no recurrence of the lesion.

Cavernous hemangioma of the tongue: A rare case report

“…[3] Cavernous hemangiomas consist of deep, irregular, dermal blood-filled channels. They are composed of tangles of thin walled cavernous vessels or sinusoids that are separated by a scanty connective tissue stroma.…”

“…Differential diagnosis between vascular and non-vascular lesions is based on clinical findings and semiotic maneuvers, such as diascopy or glass slide pressure. [3] Baba and Kato reported a case of hemangioma with pleboliths in the floor of the mouth and Doppler ultrasonography, CT, MRI was used to diagnose the lesion. [1]…”

“…[13] Growing hemangioma can be treated effectively by systemic drug therapy, sclerotherapy, laser therapy or combined therapy. Transcutaneous and contact applications of laser energy have been studied with the argon and Nd: YAG lasers while the 585-nm flashlamp - pulsed dye laser can be used in cutaneous and subcutaneous hemangiomas.…”

“…Imbalance in the angiogenesis, which causes an uncontrolled proliferation of vascular elements, associated with substances such as vascular endothelial growth factor (VEGF), basic fibroblast growth factor (BFGF) and indole-amine 2,3-dioxygenase (IDO), which are found in large amount during proliferative stages, are believed to be the cause. [3]…”

An Unusually Large Cavernous Hemangioma of Retropharyngeal Space: A Rare Case

“…1 However, hemangiomas of the retropharyngeal space are extremely rare in the English literature, with only 2 cases be reported to date. 2,3 Hemangiomas histopathologically have been divided into 3 types: capillary, cavernous, and mixed capillary.…”