Vulvar hemangioma


Hemangioma is a benign tumor consisting of the vascular epithelial cells. Most often this disorder affects newborns and infants under a year. Hemangioma is a dark red formation on the skin with very clear borders and smooth surface. When pressing, hemangioma loses its color. Hemangioma may affect skin surface, mucous membranes and internal organs. There is no scientific evidence about the precise factors causing this vascular tumors. It may be congenital vascular defects or traumas received in the postnatal period.



Classification

According to the morphological criteria, vulvar hemangiomas are classified as follows:

  • Capillary angioma is characterized by a fast growth and consists of numerous capillary vessels;
  •  Cavernous angioma contains a great amount of cavities filled with blood. If blood inside the cavity is clotted, ulcers may appear and hemangioma necrosis occurs.

The size of hemangiomas varies from very small, the size of a pinhead, to very large formations (2-5 cm in diameter). Hemangiomas localize on the skin isolated or in groups. Girls have such formations 3-4 times more often.

Hemangioma is a benign tumor and it cannot develop metastases, however large tumors become traumatized and infected easily.

Vulvar hemangioma in a newborn girl requires timely treatment as further growth of the tumor will cause complications because of walking and frictions of the underwear.

Hemangiomas treatment

  • The most effective method to remove hemangioma is cryogenic. The benefits of the cryogenic impact on tumors are painlessness, minimal risk of traumas (absence of bleeding), opportunity to use different methods depending on the type and localization of the pathology. Cryogenic method suits for babies and children of any age, if the tumor is small, disregarding its localization;
  • Diathermoelectrocoagulation (cauterization) is not used very often today, but still it is a good option for removing small hemangiomas;
  • Hormonal therapy is used for treating large and rapidly growing tumors. The medication is Prednisolone. The hormone inhibits the growth of vascular tissue and stops the tumor growth. This treatment course lasts for 28 days;
  • Radiation therapy is also a permissible option for treating large tumors. However it is a complicated method but the effect is not visible immediately;
  • Sclerotherapy with 70% ethanol for injections. This method is used very rarely due to its painfulness and long duration.

Vulvar hemangioma in most cases does not pose any risk for health or life of patients, it is not classified as sexually transmitted diseases and it is not contagious.

However if you noticed a progressive growth of the tumor, inflammation or discomfort, it is necessary to consult a dermatologist.