https://doi.org/10.4081/pmc.2022.279

Surgical management of large scalp infantile hemangioma in 30-month-old infant

Vol. 44 No. 1 (2022)
Submitted: 17 November 2021
Accepted: 8 March 2022
Published: 21 March 2022
Infantile hemangioma, surgical management, magnetic resonance imaging propranolol, scalp
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Authors

Cosimo Bleve
cosimobleve1@gmail.com
Department of Pediatric Surgery and Pediatric Minimally Invasive Surgery and New Technologies, San Bortolo Hospital, Vicenza;, Italy.
Maria Luisa Conighi
Department of Pediatric Surgery and Pediatric Minimally Invasive Surgery and New Technologies, San Bortolo Hospital, Vicenza, Italy.
Enrico Valerio
Neonatal Intensive Care Unit, Department of Woman and Child’s Health, University of Padova, Italy.
Mario Cutrone
Women and Child’s Health Department, Pediatric and Neonatal Intensive Care Unit, San Bortolo Hospital, Vicenza, Italy.
Giuseppe Iannucci
Department of Neuroradiology, San Bortolo Hospital, Vicenza, Italy.
Alessandro Segna
Department of Neuroscience and Neurosurgery, San Bortolo Hospital, Vicenza, Italy.
Salvatore Fabio Chiarenza
https://orcid.org/0000-0001-7822-2963
Department of Pediatric Surgery and Pediatric Minimally Invasive Surgery and New Technologies, San Bortolo Hospital, Vicenza, Italy.

Infantile Hemangiomas (IH) are the most common benign tumor of infancy, occurring in over 10% of newborns. The head and neck is the most frequently affected area (60%), and the scalp is a typical site for such large lesions. Scalp-IHs are usually focal lesions that can be both disfiguring and may lead to complications such as ulceration and bleeding. We describe a case of a 30-months old female who presented a large scalp-IH at birth that rapidly grew in the first year of life. Topical and systemic treatments (with timolol ointment and oral propranolol, respectively) were not effective in reducing dimensions of the hemangioma. After vascular imaging study, the patient underwent surgical resection of the IH and primary closure with excellent cosmetic outcome. When medical therapy is ineffective or cosmetic and functional integrity is threatened, early surgery allows to completely removing large scalp-IHs, with good cosmetic results.

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Supporting Agencies

Infantile hemangioma; Surgical management, Magnetic Resonance Imaging Propranolol, Scalp.

How to Cite

Bleve, C., Conighi, M. L., Valerio, E., Cutrone, M. ., Iannucci, G., Segna, A., & Chiarenza, S. F. (2022). Surgical management of large scalp infantile hemangioma in 30-month-old infant. La Pediatria Medica E Chirurgica, 44(1). https://doi.org/10.4081/pmc.2022.279
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