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Lip cavernous hemangioma in a young child
Erica Dorigatti de Avila1, Rafael Scaf de Molon, Nicolau Conte Neto
1Department of Diagnosis and Surgery, Araraquara Dental School, São Paulo State University, Araraquara, SP, Brazil.
Insights
Infantile hemangiomas are common benign tumors. This case study shows successful treatment of a large lip hemangioma in a child using vascular sclerosis followed by surgical excision, with no recurrence.
Area of Science:
- Pediatric Oncology
- Vascular Lesion Research
- Dermatology
Background:
- Infantile hemangiomas are common benign vascular tumors in children, often appearing on the head and neck.
- While many resolve spontaneously, large or complicated lesions may require intervention.
- Treatment decisions consider lesion characteristics, patient age, and potential complications like ulceration.
Observation:
- A 4-year-old child presented with a large lip cavernous hemangioma.
- The lesion was treated with three sessions of vascular sclerosis to reduce its size.
- Subsequently, the hemangioma was completely removed via simple excision.
Findings:
- The combined treatment approach of vascular sclerosis and surgical excision was effective for the large lip hemangioma.
- Postoperative follow-up for two years revealed no signs of hemangioma recurrence.
- This case demonstrates a successful management strategy for complex infantile hemangiomas.
Implications:
- This case highlights the efficacy of a multimodal treatment approach for challenging infantile hemangiomas.
- Vascular sclerosis followed by excision can be a viable option for large or persistent lesions.
- Further research into optimal treatment sequences for infantile hemangiomas is warranted.
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.
