Verrucous Hemangioma Treated with Electrocautery

Abstract

Verrucous hemangioma is a rare vascular malformation consisting of a proliferation of dilated blood vessels of different sizes that occupy the dermis and hypodermis. The epidermis of the affected area shows a strong proliferative reaction that presents as a warty appearance. Here, we report the case of a 17-year-old male who presented with an asymptomatic warty growth above the lateral malleolus on the right leg, which healed after electrocautery.

Linear verrucous hemangioma of the upper limb: a rare case

“…Various therapeutic options such as cryotherapy, ultrasonography, electrocautery, NdYAG laser for plaques, and pulsed dye laser for patches can be considered when excision is not possible [11][12][13][14]. Our case was surgically excised and showed no recurrence at 6 months, indicating that the surgery may be a good choice for treatment of a localized linear plaque.…”

Linear verrucous hemangioma—a rare case and dermoscopic clues to diagnosis

“…Due to the deeper vascular infiltration, the recurrence rate of VH is 33%, especially when the lesions are larger than 2 cm in diameter [ 3 ]. Various other options that have been tried with limited results include ultrasound, cryosurgery and electrocautery, especially for smaller lesions [ 4 , 18 , 19 ]. Recently, a combination of CO2 and dual pulsed dye laser Nd:YAG has been reported to provide satisfactory response in some cases [ 20 ].…”

Hemangioma Verukosa

“…terlokalisasi yang merupakan hemangioma kapiler atau kavernosa yang mengalami reaksi proliferasi epidermis berupa hiperkeratosis, akantosis dan papilomatosis serta ditandai proliferasi dan pelebaran vaskular pada dermis hingga subkutan. [1][2][3][4][5][6][7] Hemangioma verukosa umumnya tampak sejak lahir pada sekitar 60% kasus atau dapat muncul pada masa kanak-kanak sekitar 90% kasus, serta dapat juga muncul saat dewasa. Kelainan ini biasanya ditemukan pada ekstremitas bawah, bersifat unilateral pada sekitar 95% kasus.…”

“…3,6,8 Secara klinis VH tampak sebagai papul vaskular, plak atau nodul berwarna merah kebiruan, berbatas tegas, diskret maupun berkelompok, lunak dengan permukaan verukosa dan disertai lesi satelit. 4,9,10 Ukuran lesi VH berkembang secara bertahap seiring bertambahnya usia dan menyebar secara lokal. 11,12 Ukuran lesi VH berada pada rentang antara 4 mm hingga 8 cm bahkan lebih.…”

“…11,12 Ukuran lesi VH berada pada rentang antara 4 mm hingga 8 cm bahkan lebih. 4,10 Patogenesis VH berhubungan dengan mutasi somatik dari mitogen-activated protein kinase kinase kinase 3 (MAP3K3) yang berperan penting dalam perkembangan vaskular. 16 Penegakan diagnosis VH didasarkan pada pemeriksaan histopatologi.…”