Infantile hemangiomas (IH) are the most common benign soft tissue vascular tumors in early childhood with an incidence of up to 10%-12%, which affected most commonly the face and neck area, followed by the trunk and extremities, which ususally appears within the first weeks of life. IF represent true neoplasms of endothelial cells which should be sharply differentiated from vascular malformations, caused by dysfunction in embryogenesis and vasculogenesis. Although that the prevalence of IH tend to regress spontaneously, between 10 and 15% are at risk for complications, especially during the proliferative phase of the disease, which could cause impairment of vital functions or permanent cosmetic disfigurement. The major therapeutic dilemma consist in physician's decision to treat the disease in the first weeks of life, considering the high rate of advanced effects associated with the approved treatment modalities or to wait the possible spontaneous regression, considering the potential risk of complications. Current study obtained a significant difference between the expression of p16 protein in the proliferating hemangiomas and in the involuting hemangiomas, suggesting it as a potential prognostic marker which could determine the further therapeutic behavior. We present a rare case of extra facial giant infantile hemangioma in a newborn, which still remains a therapeutic challenge.