Capillary hemangioma

Introduction to capillary hemangioma Capillary hemangioma is a type of hemangioma that is more common and belongs to vascular malformations. It consists of a dilated and hyperplastic capillary network, including strawberry hemangioma and wine stains. More common in babies, mostly women. Most are hamartomas, but if they increase faster than infants, they may be true tumors. Many children's capillary hemangioma can stop growing or regress within 1 year of age. Capillary hemangioma is a common vascular vascular aneurysm, which can be divided into neonatal cantharidin, wine stain, strawberry capillary hemangioma, spider mites, family telangiectasia, granuloma. Capillary hemangioma resection is suitable for sites that are prone to bleeding, susceptibility to infection, or dysfunction, and that hemangioma grows rapidly, due to conditions, cannot be frozen or injected with a sclerosing agent. Before the operation of the resection, careful consideration should be made to fully estimate the size of the hemangioma and its relationship with adjacent tissues, and to develop a corresponding plan. basic knowledge The proportion of illness: 0.001% Susceptible people: more common in babies Mode of infection: non-infectious Complications: congestive heart failure, dyskinesia

Cause of capillary hemangioma

Genetic factors (15%):

Polygenic genetic diseases are caused by the combination of genetic factors and environmental factors. Among them, the magnitude of the effect of genetic factors can be measured by heritability. Heritability is the contribution of genetic factors in the formation of polygenic diseases.

Environmental factors (30%):

Food factors caused by environmental pollution, women are exposed to environmental pollution, drug stimulation during pregnancy, and adverse factors cause abnormal growth and expansion of the vascular network within three months of the embryo.

Trauma factors (20%):

Traumatic factors can also cause capillary hemangioma.

Capillary hemangioma prevention

1. After surgery, be careful not to soak the wound when washing or bathing.

2. Special attention should not allow the baby to scratch the wound to prevent infection. In case the wound is broken, it is necessary to apply anti-inflammatory drugs in time.

3. Avoid spicy foods such as spicy food.

4. Patients who use laser treatment of hemangioma should also pay attention to sun protection.

5. Wound skin nails should let them fall off on their own.

Capillary hemangioma complications Complications, congestive heart failure, dyskinesia

Complications of hemangioma include ulcers, hemorrhage, infection, damage to vital organs, congestive heart failure, and limb deformities caused by skeletal muscle damage. If the hemangioma invades the cervical vertebra, symptoms of nerve root compression, such as pain, upper limb sensation and movement disorder, may occur.

Capillary hemangioma symptoms Common symptoms erythema (border clear red spotted scorpion spider spotted hemorrhage thigh capillaries obvious skin

Capillary hemangioma is a common vascular vascular aneurysm, which can be divided into neonatal cantharidin, wine stain, strawberry capillary hemangioma, spider mites, family telangiectasia, granuloma.

1, neonatal spotted: also known as orange spots, common in the forehead, upper eyelids, eyebrows, nasal circumference or neck and neck. Orange red or light red, does not highlight the leather surface, can be faded with light pressure, slightly increased with the growth of the child, no need for treatment.

2, wine stains: more common in the face, a small part in the trunk or limbs, from red to dark red, or dark purple, not higher than the leather surface, the extent of the lesion with the growth of the child to expand, will not subside.

3, spider-shaped sputum: small as a pinhole, more common in the face, arms, hands, trunk.

4, strawberry-shaped capillary hemangioma: a small number of children appear at the time of birth, the size of the circle or ellipse is scattered or scattered in the red spots, the block is not higher or slightly higher than the leather surface. The surface is slightly rough, and most of them are only tiny red dots, which are enlarged and merged into a block. They are often 3-4 mm higher than the skin, bright red, and have many particles on the surface. They are named after strawberries.

5, family hemorrhagic telangiectasia lesions, more common in the nasal mucosa, followed by the face, tongue, lips, fingers, etc., the expanding capillaries are mainly located in the dermis and submucosa, the tube wall is thin, only one layer of endothelium and epidermis Adjacent, the diameter of the lesion is generally 1-3 mm, irregular, flat or bulging, red or purple, and the color becomes white when pressurized.

Capillary hemangioma

Capillary hemangioma examination project:

Skin smear microscopy, Doppler echocardiography, fungal histopathology, physical examination of skin diseases, CT examination, CT contrast scan.

Introduction to fungal histopathology: Fungal histopathology is an important diagnostic method for deep fungal infections. Identification of fungi in tissues marks the level of pathogenic diagnosis. Immunohistochemistry classifies fungi according to the antigenicity of the fungus.

Diagnosis and diagnosis of capillary hemangioma

diagnosis

Diagnosis can be based on the cause, symptoms and related tests.

Differential diagnosis

1. The anterior meningeal sulcus anterior meningocele is caused by the incomplete closure of the sieve plate at the base of the anterior cranial fossa. The meninges and their surrounding cerebrospinal fluid are bulged through the sieve plate and the bone of the sieving plate to the rim. Inside the upper part, the clinical manifestation of this place is bulging forward, the color is slightly purple, and it can be soft and swollen. The child swells when crying, quite like a capillary hemangioma. However, the development is slow, there is no tendency to retreat, and there are often pulsations. Bone defects were seen in both X-ray and CT scans; ultrasound showed a cystic mass, and color Doppler ultrasonography revealed a lack of blood flow inside.

2. Rhabdomyosarcoma develops faster than capillary hemangioma and continues to grow. Early edema, ocular protrusion, vision loss and eye movement disorders. The sacral margin and hard mass are incompressible, and the mass does not increase when crying. Ultrasound exploration, although also showing low reflectivity, is rarely compressible. Color Doppler ultrasonography has a rich blood flow inside, but it is not diffuse. CT scans can be found as solid masses with bone destruction.

3, green tumor green tumor in the temporal region is a mass caused by leukocyte infiltration, immature cells are found in the peripheral blood, and bone marrow puncture can confirm the diagnosis. For needles in differential diagnosis, especially in the sacral, fine needle biopsy is often necessary. The meninges swelled back to the cerebrospinal fluid, the capillary hemangioma was a well-differentiated endothelial cell, and the rhabdomyosarcoma showed atypical cells.

4. Metastatic neuroblastoma is also a tumor that occurs in childhood, and the image shows a solid tumor. A wide range of bone destruction, a mass in the adrenal medulla.

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