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Vulvar Hemangioma
Hemangioma of Vulva

Presentation

Pandya IV Affiliation not present. Casimir F. Firlit Affiliation not present. Abstract We present a rare case of genital hemangiomas. Generally, hemangiomas are present at birth or in the first year of life and completely resolve by age 10. [urogynaecologia.org]

Case Presentation. Flors L et al: MR imaging of soft-tissue vascular malformations: diagnosis, classification, and therapy follow-up. Clinical presentation is usually an enlarging soft tissue mass with or without pain. [astrapace.com]

As most hemangiomas present spontaneous involution, treatment may be reserved for lesions that present complications, such as functional impairment, pain, ulceration, and bleeding, as the ones presented by our patient; however, there are others, like [scielo.br]

Key facts and MRI features of the normal anatomy, urethral diverticulum, urethral leiomyoma, urethral metastases, urethritis and urethral fistulas are presented. A number of illustrations are presented. [uncch.pure.elsevier.com]

Entire Body System

  • Pallor

    A speculum examination is necessary to detect vaginal findings such as ulceration, synechiae, loss of rugae, pallor, and petechiae. Vaginal discharge should be obtained for cultures, wet mount, and pH assessment. [womenshealthsection.com]

    In some instances, a significant individual keratinocyte necrosis with nuclear karyorrhexis and cytoplasmic pallor occurs. Intertrigo Histopathologic findings are nonspecific. [emedicine.medscape.com]

  • Ecchymosis

    Shrinkage and agglutination of the labia are not seen, nor are the focal areas of ecchymosis found that may occur in lichen sclerosus. Biopsy reveals hyperkeratosis, acanthosis, lengthening and distortion of rete pegs, and parakeratosis. [womenshealthsection.com]

  • Weakness

    […] opening of the vagina or urethra Sebaceous gland cyst – small cysts, which may enlarge and become infected, that develop when the ducts to sebaceous glands are blocked Inguinal hernia – soft tissue (abdominal membrane or intestine) protruding through a weak [childrens.com]

Cardiovascular

  • Hypotension

    Face 16 M 9 mo 6 d Hypotension First dose Face 21 M 11 mo Hypotension First dose Face 25 F 7 mo 10 d Bradycardia First dose Face Discussion As haemangiomas will spontaneously decrease after a few years, treatment during the proliferation phase is reserved [smw.ch]

    The use of Propanolol for hemangiomas is not without risks and its use has been reported to be associated with hypotension, bradycardia, bronchospasm, hypoglycemia and hypothermia 2, 3. [thischangedmypractice.com]

  • Vascular Disease

    Keywords: angiolymphoid hyperplasia with eosinophilia; hemangioma; vascular diseases. [jbpml.org.br]

    disease involving skeletal muscle, comprising only 0.8% of hemangiomas. [readbyqxmd.com]

Eyes

  • Prolapse

    To our knowledge, very few articles in the literature have described the clinical applications of ultrasound in evaluating vulvar lesions, except in relation to the assessment of the supporting structures, incontinence, and pelvic organ prolapse. [e-ultrasonography.org]

    Baxi [7] 2005 Haemangioma of the cervix was found in a 60-year-old female patient with prolapse of uterus. The haemangioma was incidentally detected during routine histopathologi cal examination of the organ removed by surgery. [file.scirp.org]

    Red nodules Furuncles (boils) Wart (HPV infection) Prurigo nodularis Vulvar intraepithelial neoplasia (VIN) Molluscum contagiosum (inflamed) Urethral caruncle and prolapse Hidradenitis suppurativa Mammary-like gland adenoma (hidradenoma papilliferum) [womenshealthsection.com]

Skin

  • Skin Lesion

    Background A skin lesion is a nonspecific term that refers to any change in the skin surface; it may be benign, malignant or premalignant. [aetna.com]

    Proliferative lesions affecting the vulva may originate from skin, mucosa or underlying connective tissue. [dermnetnz.org]

    With regard to dermoscopy of pigmented skin lesions only solitary angiokeratoma is pertinent. [dermoscopy.org]

    Microscopic examination revealed a polypoid skin lesion lined with hyperkeratotic epidermis. [kundoc.com]

  • Erythema

    There was no streaking of the erythema. Individual hair follicles appeared normal in the area. No vaginal discharge was seen and the rest of the tissue appeared healthy. The diagnosis of epidermal inclusion cyst was made. [pediatriceducation.org]

    Associated erythema nodosum and erythema multiforme have been reported. [emedicine.medscape.com]

    On magnoscopic examination, yellow structureless areas, peripheral erythema, peripheral red streaks (representing telengiectasias), hemorrhagic crusts, and lacunae were seen [Figure 2] and [Figure 3]. [idoj.in]

    Clinical examination may reveal a range of findings from mild erythema and swelling to severe erythema, fissures, skin thickening, erosion, and ulceration (see figure 1 below). [womenshealthsection.com]

  • Urticaria

    Contact Dermatitis Psoriasis pictures, Lichen Planus and related diseases Scabies, Lyme Disease and other Infestations and Bites Seborrheic Keratoses and other Benign Tumors Systemic Disease Tinea (Ringworm), Candidiasis, and other Fungal Infections Urticaria [dermnet.com]

Psychiatrical

  • Aggressive Behavior

    Rhabdoid Tumor Malignant rhabdoid tumors of the vulva are neoplasms which show aggressive behavior and a dismal prognosis. A case of malignant rhabdoid tumor of the clitoris occurring in an elderly patient was reported by Haidopoulos et al. (2002). [scialert.net]

Neurologic

  • Irritability

    Contact dermatitis will usually resolve on its own once the irritant or allergen is removed. Your doctor will recommend avoiding harsh soaps and detergents. [childrens.com]

    Primary irritant dermatitis In the absence of any immune reactivity, this condition is a common cause of vulvar burning and pruritus due to irritation. [emedicine.medscape.com]

    Common irritants and allergens include body fluids, menstrual pads, heat, soaps and detergents, antibiotics, douches, fragrances, nickel (from piercing), rubber, and spermicides (5). In addition, semen can also act as an irritant or allergen. [womenshealthsection.com]

    Corticosteroids – The most common side effects of oral corticosteroids with short-term use are irritability, swelling of the face, stomach irritation, altered sleep and slowing of growth. [cincinnatichildrens.org]

Urogenital

  • Genital Lesions

    However, gynecologists need to inform patients of the risk of leaving new genital lesions undiagnosed while sharing the information that most of these lesions will not be malignant. [womensvoicesforchange.org]

    The patient reported a genital lesion for the past 3 years and the use of various treatments involving creams and ointments, even though there was no diagnosis associated with dyspareunia and intermittent bleeding. [scielo.br]

    Kondi-Pafiti [10] 2003 9 unusual vascular tumors of the female genital tract and to investigate the problems in the differentia l diagnosis from other genital lesions. [file.scirp.org]

    A general examination, including skin, eyes, and mouth, should be performed as some vulvar dermatoses are associated with autoimmune conditions and extra-genital lesions. [womenshealthsection.com]

Workup

Differential Diagnosis and Workup Workup and procedures If the diagnosis is not readily apparent, unaided (ie, naked-eye) or colposcopic examination of the vulva may define areas of abnormality that may warrant biopsy using a Keyes punch or biopsy forceps [emedicine.medscape.com]

Microbiology

  • Chlamydia

    Reiter disease Reiter disease is a sterile oligoarthritis typically associated with conjunctivitis and with a distant infection (eg, Chlamydia trachomatis, Ureaplasma urealyticum, Shigella, Salmonella ), causing nongonococcal urethritis or enteritis. [emedicine.medscape.com]

Colonoscopy

  • Polyps

    Keywords: angiogranuloma; granuloma, pyogenic; granuloma pyogenicum; granuloma telangiecticum; hemangioma; hemangioma, lobular capillary; polyps; pyogenic granuloma; skin; vulva; vulvar pyogenic granuloma Acrobat Reader 7.0 is recommended to properly [reproductivemedicine.com]

    When polyps are identifiedremoval is indicated because of the risk of malignancy, although this risk is low (said to be 1 in 6000). [quizlet.com]

    NIH: National Cancer Institute Biopsy - polyps (Medical Encyclopedia) Cherry angioma (Medical Encyclopedia) [ Read More ] Vulvar Disorders The vulva is the external part of a woman's genitals. [icdlist.com]

    Clinical diagnoses ranged from cystadenoma in ovarian tumors to endocervical polyp in cervical tumor. [ijpsr.com]

Treatment

Sexually transmitted diseases treatment guidelines, 2015. [scielo.br]

Also, prospective studies should be needed in determining the most effective treatment dosage, optimum treatment duration, and exact mechanism of action of propranolol in future. [scienceopen.com]

Explore important issues in infertility, such as egg freezing, cancer treatment, and preimplantation genetic diagnosis. [books.google.es]

The ideal duration of treatment and the risk of reappearance of the lesions at the end of the treatment are still subjects of debate [11, 12]. [smw.ch]

Prognosis

It should be noted that a high index of suspicion for melanoma often is present when examining the vulva, considering that this area is difficult to monitor, and there is an especially poor prognosis of vulvar melanoma due to its late detection. 6,7 Related [mdedge.com]

Adrenocortical carcinoma in children: Clinical aspects and prognosis. J. Pediatr. Surg., 28: 841-843. CrossRef | PubMed | Sasaki, H. and K. Ishihara, 1989. Clinical symptoms and prognosis in malignant melanoma of the pubic region. Gan. To. Kagaku. [scialert.net]

Melanoma of the vulva has a poorer prognosis overall than melanoma on the torso, most likely because of the extent of the disease at the time of diagnosis. [womensvoicesforchange.org]

Neurofibromatosis type 1 (NF1): Management and prognosis. UpToDate Inc., Waltham, MA. Last reviewed December 2015. American Academy of Family Physicians (AAFP) Website. Common pigmentation disorders. January 15, 2009. [aetna.com]

Etiology

Disease-oriented chapters include etiology, differential diagnosis, history, physical examination, laboratory and imaging studies, treatment, and special considerations during pregnancy. [books.google.es]

Etiological factors in child maltreatment: a multivariate study of abusing, neglecting and normal mothers. J Abnorm Psychol 1978 ;87(5): 531 - 40. [journals.sagepub.com]

[…] cancers of distant organs (adrenal glands, urinary bladder and rectal cancer), neurofibromatosis and other etiologies of tumors growing on clitoris. [scialert.net]

The syndromic management of genital ulcers is recommended as an initial treatment, given the number of differential diagnoses and the practical difficulties in establishing a clear-cut etiologic diagnosis. [scielo.br]

The etiologies of other benign connective tumors in this area are unknown. [emedicine.medscape.com]

Epidemiology

Tjaden BL(1), Buscema J, Haller JA Jr, Rock JA. distinct histologically and molecularly from benign hemangioma and high-grade angiosarcoma; Epidemiology Figure 2. [Crossref] 9. [astrapace.com]

CIC Edizioni Internazionali, 28 ott 2015 - 442 pagine Vulvar-vaginal disorders represent a field of growing interest in clinical, epidemiological and healthcare research. [books.google.it]

This report defines the prevalence of genital colonization in a large population of women, characterizes the women with S. aureus, and describes epidemiologic features of genital carriage. ‎ Página 50 - Lautenschlager S, Eichmann A. [books.google.es]

[…] pattern Considered to be on the same neoplastic spectrum as kaposiform hemangioendothelioma ; some consider it to be the same entity Terminology Synonyms: Tufted angioma, Nakagawa’s angioblastoma, progressive capillary hemangioma, tufted hemangioma Epidemiology [pathologyoutlines.com]

Child abuse and pediatric social illness: an epidemiologic and ecological reformulation. Am J Orthopsychiatry 1986 ; 56(4): 589 - 601. Google Scholar | Crossref | Medline | ISI Altemeier WA, O'Connor S., Vietze PM, et al. Antecedents of child abuse. [journals.sagepub.com]

Pathophysiology

Subcategorized into vascular tumors and malformations, each anomaly is characterized by specific morphology, pathophysiology, clinical behavior, and management approach. B. GIBSON AND P. M. [astrapace.com]

The pathophysiologic features involve blockage of the gland duct, with continued secretion or infection of the gland itself. Without a route of egress, the glandular location swells and enlarges (Fig. 17). [glowm.com]

Pathophysiology, epidemiology, clinical features, life cycle and associated structural abnormalities. JEADV, 25: 1245-1253. Hochman M, Adams DM, Reeves TD (2011) Current Knowledge and Management of Vascular Anomalies I. Hemangiomas. [omicsonline.org]

Etiology and Pathophysiology Nonneoplastic epithelial disorders are discussed below. [emedicine.medscape.com]

Prevention

الصفحة 104 - A vaccine to prevent herpes zoster and postherpetic neuralgia in older adults. ‏ الصفحة 104 - Lafferty WE, Downey L, Celum C, Wald A. Herpes simplex virus type 1 as a cause of genital herpes: impact on surveillance and prevention. [books.google.com]

Centers for Disease Control and Prevention sexually transmitted diseases treatment guidelines. Clin Infect Dis 2015;61(Suppl 8):S759-S762. Doi: 10.1093/cid/civ771 https://doi.org/10.1093/cid/civ771... [scielo.br]

Understand the latest research in menopause, how to effectively prescribe treatments, and the consideration of using hormones for prevention. A new chapter dedicated to in vitro fertilization keeps you current with today's recent advances. [books.google.es]

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