AI Article Synopsis

  • - Hemangiomas are the most common benign soft tissue tumors in children, but those located in the genital area are rare, prompting this study to review literature on pediatric vulvovaginal hemangiomas for better diagnosis and treatment guidance.
  • - The literature review from August 2009 to May 2023 showed that most hemangiomas are benign and often resolve on their own, but some can cause serious symptoms like heavy bleeding, necessitating advanced diagnostic methods like CT or MRI.
  • - Existing treatments range from medical therapy to careful monitoring, with a need for more research on effective management, particularly for symptomatic cases; treatment should be tailored to individual circumstances and clinical expertise.

Article Abstract

Background: Hemangiomas are aberrant proliferations of blood vessels and the most frequent benign pediatric soft tissue tumors. Although they are common, genital localization is rare. This study aimed to assist doctors in the diagnosis, management, and treatment of pediatric vulvovaginal hemangiomas by conducting a review of the literature.

Methods: We conducted a literature review including papers published between August 2009 and May 2023.

Results: While most hemangiomas are usually indolent and resolve with time, in some cases, especially cervicovaginal and uterine ones, they might present with severe symptoms like heavy bleeding and need further instrumental investigation for diagnosis, like CT or MRI. As for the treatment, many options are available, with medical therapy or expectant management being the first choice.

Conclusions: Vulvovaginal pediatric hemangiomas are rare and require more research on how to detect and manage these lesions, especially the symptomatic and the psychologically impacting ones. For the time being, treatment should be personalized based on the patient's situation and clinician's expertise.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10969121PMC
http://dx.doi.org/10.3390/diseases12030048DOI Listing

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