Conjunctival granulomatous capillary haemangioma in children: case report and review of the literature

Abstract

Background Granulomatous capillary haemangioma refers to a benign vascular tumour that commonly affects the skin, with occasional involvement of the mucosa. Reports of conjunctival granulomatous capillary haemangioma in children are uncommon. In this article, we present a case of granulomatous capillary haemangioma and a brief review of the relevant literature. Case presentation An 11-year-old girl presented with a conjunctival mass. An excision of the entire lesion was performed. Histopathology showed a granulomatous capillary haemangioma. Conclusions The clinical manifestations of granulomatous capillary haemangioma lack specificity; pathological characteristics and immunohistochemistry are the main basis for diagnosis. We retrospectively analysed the diagnosis and treatment of a patient with conjunctival granulomatous capillary haemangioma to deepen the understanding and facilitate the diagnosis and treatment of this disease.

Dermatoscopic features of pyogenic granuloma in children

“…Besides of common patterns as reddish homogeneous areas, yellow‐white scales and dark red scabs as dermoscopic patterns should be paid more attention to when conducting dermoscopic examination for male children with PG. In our study, the pattern of white rail lines was more often observed in patients with longer course of disease (longer than 1 month), which may correspond histologically to the fibrous septa that surround the capillary tufts or lobules 23 . The pattern is actually consistent with the pathological evolution of the disease.…”

“…In our study, the pattern of white rail lines was more often observed in patients with longer course of disease (longer than 1 month), which may correspond histologically to the fibrous septa that surround the capillary tufts or lobules. 23 The pattern is actually consistent with the pathological evolution of the disease. That's why it is hardly to see the typical white rail lines in the skin lesions under dermatoscopy in patients with shorter course of disease (less than or equal to 1 month).…”

Conservative Management of Giant Pyogenic Granuloma Post Strabismus Surgery: A Case Report and Literature Review

“…Complete excision is preferred in terms of preventing recurrence and obtaining a specimen for histopathological examination [ 17 ]. Surgical excision with thermal cauterization followed by corticosteroid drops was effective in 52 cases of conjunctival granuloma with no recurrence at six months of follow-up [ 18 ].…”

“…Surgical excision with thermal cauterization followed by corticosteroid drops was effective in 52 cases of conjunctival granuloma with no recurrence at six months of follow-up [ 18 ]. In addition, multiple case reports of conjunctival pyogenic granulomas were successfully treated with surgical resection [ 15 , 17 , 19 ]. However, preserving the integrity of the structure is a difficulty in any surgical intervention.…”

“…Also, the need for general anesthesia in children makes it less preferable in certain situations. Accordingly, careful postoperative assessment is also essential [ 17 , 18 ]. The combination of cryotherapy and intraoperative mitomycin C may aid in preventing recurrence after surgical excision [ 20 ].…”