Advertisement

Pediatric Penile Non-Involuting Congenital Hemangioma With an Associated Pyogenic Granuloma: Surgical Management of a Rare Vascular Anomaly

  • Miyad Movassaghi
    Affiliations
    Department of Urology, Division of Pediatric Urology, Columbia University Irving Medical Center, Morgan Stanley Children's Hospital, New York, NY
    Search for articles by this author
  • JuneK Wu
    Affiliations
    Department of Surgery, Division of Plastic and Reconstructive Surgery, Columbia University Irving Medical Center, Morgan Stanley Children's Hospital, New York, NY
    Search for articles by this author
  • Christina P. Carpenter
    Correspondence
    Address correspondence to: Christina P. Carpenter, M.D., M.S., Department of Urology, Division of Pediatric Urology, Columbia University Irving Medical Center, Morgan Stanley Children's Hospital, 161 Fort Washington Ave. 11th Floor, New York, NY 10032.
    Affiliations
    Department of Urology, Division of Pediatric Urology, Columbia University Irving Medical Center, Morgan Stanley Children's Hospital, New York, NY
    Search for articles by this author
Published:October 01, 2021DOI:https://doi.org/10.1016/j.urology.2021.09.012

      Abstract

      Vascular anomalies include both tumors and malformations. Infantile hemangiomas are the most common benign vascular tumor of infancy that proliferate after birth and eventually involute. By contrast, congenital hemangiomas are formed at birth and are categorized into three groups: rapidly involuting, partially-involuting, and non-involuting congenital hemangiomas (NICH). NICH do not regress and grow with age. Pyogenic granulomas, another acquired vascular tumor, develop over vascular lesions and cause bleeding. Primary treatment options for NICH and pyogenic granulomas are surgical resection. Here, we report a case of a NICH with a co-existing pyogenic granuloma involving the penile shaft and scrotum treated surgically.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Urology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Hinen HB, Trenor CC, Wine Lee L. Childhood vascular tumors. Front Pediatr. 2020;8:573023. doi:10.3389/fped.2020.573023. PMID: 33194900; PMCID: PMC7642460.

        • Goss JA
        • Greene AK
        Congenital vascular tumors.
        Otolaryngol Clin North Am. 2018; 51 (PMID: 29217070): 89-97https://doi.org/10.1016/j.otc.2017.09.008
        • Baselga E
        • Wassef M
        • Lopez S
        • Hoffman W
        • Cordisco M
        • Frieden IJ
        Agminated, eruptive pyogenic granuloma-like lesions developing over congenital vascular stains.
        Pediatr Dermatol. 2012; 29 (Epub 2011 Nov 8. PMID: 22066576): 186-190https://doi.org/10.1111/j.1525-1470.2011.01565.x
        • Cossio ML
        • Dubois J
        • McCuaig CC
        • et al.
        Non-involuting congenital hemangiomas (NICH) with postnatal atypical growth: a case series.
        Pediatr Dermatol. 2019 Jul; 36 (Epub 2019 Apr 29. PMID: 31033005): 466-470https://doi.org/10.1111/pde.13837
        • Naimer SA
        • Cohen A
        • Vardy D
        Pyogenic granuloma of the penile shaft following circumcision.
        Pediatr Dermatol. 2002; 19 (PMID: 11860569): 39-41https://doi.org/10.1046/j.1525-1470.2002.00005.x
        • Amouri M
        • Mesrati H
        • Chaaben H
        • Masmoudi A
        • Mseddi M
        • Turki H
        Congenital hemangioma.
        Cutis. 2017; 99 (PMID: 28207019): E31-E33
        • Krowchuk DP
        • Frieden IJ
        • Mancini AJ
        • et al.
        Clinical practice guideline for the management of infantile hemangiomas.
        Pediatrics. 2019; 143 (PMID: 30584062)e20183475https://doi.org/10.1542/peds.2018-3475
        • Moreno-Ramirez D
        • Toledo-Pastrana T
        • Rios-Martin JJ
        • Ferrándiz L
        Surgical removal of a noninvoluting congenital hemangioma using a modified sub-brow flap.
        JAAD Case Rep. 2016; 2 (PMID: 27274536; PMCID: PMC4885147): 199-201https://doi.org/10.1016/j.jdcr.2016.03.011
        • Reiner WG
        • Gearhart JP
        • Jeffs R
        Psychosexual dysfunction in males with genital anomalies: late adolescence, Tanner stages IV to VI.
        J Am Acad Child Adolesc Psychiatry. 1999; 38 (PMID: 10405505): 865-872https://doi.org/10.1097/00004583-199907000-00017