Merlino Lucia, Volpicelli Agnese Immacolata, Anglana Franco, D'Ovidio Giulia, Dominoni Mattia, Pasquali Marianna Francesca, Gardella Barbara, Inghirami Paolo, Lippa Pietro, Senatori Roberto
Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 00161 Rome, Italy.
Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, 00161 Rome, Italy.
Diseases. 2024 Feb 28;12(3):48. doi: 10.3390/diseases12030048.
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.
We conducted a literature review including papers published between August 2009 and May 2023.
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.
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.
血管瘤是血管的异常增殖，是儿科最常见的良性软组织肿瘤。虽然它们很常见，但发生于生殖器部位的情况却很罕见。本研究旨在通过文献综述，帮助医生诊断、管理和治疗小儿外阴阴道血管瘤。
我们进行了一项文献综述，纳入了2009年8月至2023年5月发表的论文。
虽然大多数血管瘤通常进展缓慢并会随时间消退，但在某些情况下，尤其是宫颈阴道和子宫部位的血管瘤，可能会出现严重症状，如大量出血，需要进一步借助CT或MRI等仪器检查来进行诊断。至于治疗，有多种选择，药物治疗或观察等待是首选。
小儿外阴阴道血管瘤较为罕见，需要更多关于如何检测和管理这些病变的研究，尤其是有症状的以及对心理有影响的病变。目前，应根据患者情况和临床医生的专业知识进行个性化治疗。
