[Non-involuting congenital hemangioma: a study for diagnosis and treatment].

Authors:
Yun-bo Jin
Yun-bo Jin
Shanghai Ninth People's Hospital
Xiao-xi Lin
Xiao-xi Lin
Ninth People's Hospital
China
Gang Ma
Gang Ma
Shanghai Ninth People's Hospital
China
Hui Chen
Hui Chen
Key Lab for Agro-product Processing and Quality Control of Nanchang City
China
Wei Li
Wei Li
State Key Laboratory of Stem Cell and Reproductive Biology
China
Xin-dong Fan
Xin-dong Fan
School of Stomatology
Morgantown | United States
Mei-Sui Lin
Mei-Sui Lin
Shanghai Jiao Tong University
China
Dr. Wei Wang, MD
Dr. Wei Wang, MD
College of Life Science
China

Zhonghua Zheng Xing Wai Ke Za Zhi 2009 May;25(3):189-93

Department of Plastic and Reconstructive Surgery, Shanghai 9th People' s Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200011, China.

Objective: To study the history, clinical symptoms, imaging and histology of a rare distinct infantile hemangioma.

Methods: 12 patients (5 female, 7 male; aged 18 months - 26 years) diagnosed as non-involuting congenital hemangioma were retrospectively analyzed. The history, imaging, histologic examination and the treatment were collected.

Results: Most of the patients had only one lesion which was round or ovoid, flat or plaque-like. The average size was about 5 cm x 6 cm. The overlying skin was usually had coarse telangiectasia with central or peripheral pallor. The skin has a high skin temperature. Magnetic resonance imaging, computed tomography angiography and digital subtraction angiography findings were similar to those of common infantile hemangioma. Histologic examination revealed lobular collections of small, thin-walled vessels with a large, often stellate, central vessel. "Hobnailed" endothelial cells lined along the intralobular vessels. Small arteries were observed "shunting" directly into lobular vessels or into abnormal extralobular veins. All lesions were easily excised without recurrence.

Conclusions: Non-involuting congenital hemangioma is a distinct infantile vascular tumor. It should be diagnose early and treated appropriately.

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May 2009
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