Vulvar Hemangioma: Case Report

Abstract

Hemangioma is a benign neoplasm that may affect the vulva, and it can cause functional or emotional disability. This article reports the case of a 52-year-old female patient with a history of a genital ulcer for the past 3 years and who had undergone various treatments with creams and ointments. The patient was biopsied and diagnosed with vulvar hemangioma and was subsequently submitted to surgical excision of the lesion. We emphasize the importance of following the steps of the differential diagnosis and proceeding with a surgical approach only if necessary.

Fig. 1

Examination of the vulva with a lesion between the vaginal vestibule and the perineal region.

Fig. 2

This figure shows a proliferation of tortuous vessels in the submucosa, with variation in size. (A) Detail of a tortuous vessel and its endothelial lining formed by a single layer of some flattened cells. Some more swollen, without nuclear atypia. (400x magnification). (B) Some of them are larger and full of erythrocytes, while others are smaller and located in the periphery. (400x magnification). (C) Field of observation demonstrating the superficiality of these tortuous vessels and their close relation to the mucosa (stratified squamous epithelium). (200x magnification). (D) Nude area (without epithelial lining) composed of acute inflammatory cells (polymorphonucleated), chronic (lymphocytes and plasma cells) and erythrocytes, characterizing ulcerated lesion. (100x magnification). All using hematoxylin-eosin staining.