Vulvar Hemangioma: A Review
<b>Objectives</b>: To review the clinical presentation, diagnostic approach, treatment strategies, and outcomes of vulvar hemangiomas, and to evaluate the consistency of management practices in the absence of standardized guidelines. <b>Eligibility criteria</b>: We included c...
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MDPI AG
2025-05-01
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| Online Access: | https://www.mdpi.com/2075-4418/15/10/1270 |
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| author | Wing-Yu Sharon Siu Yen-Chang Chen Dah-Ching Ding |
| author_facet | Wing-Yu Sharon Siu Yen-Chang Chen Dah-Ching Ding |
| author_sort | Wing-Yu Sharon Siu |
| collection | DOAJ |
| description | <b>Objectives</b>: To review the clinical presentation, diagnostic approach, treatment strategies, and outcomes of vulvar hemangiomas, and to evaluate the consistency of management practices in the absence of standardized guidelines. <b>Eligibility criteria</b>: We included case reports, case series, and observational studies describing vulvar hemangiomas with clinical, histological, and management data in human subjects. Reviews, editorials, and studies unrelated to vulvar hemangiomas were excluded. <b>Information sources</b>: Systematic searches were conducted in PubMed, Embase, Scopus, and Web of Science up to 20 February 2025, with additional citation tracking. <b>Results</b>: 85 studies were included. Data were synthesized narratively due to heterogeneity in the study design and outcome reporting. Most studies described symptomatic lesions presenting as swelling, bleeding, or pain, often misdiagnosed as Bartholin cysts or varicosities. Treatment varied widely, including observation, surgical excision, embolization, and medical therapies. No evidence-based guidelines were identified. <b>Conclusions</b>: Vulvar hemangiomas are rare and frequently misdiagnosed. While asymptomatic lesions may be observed, symptomatic cases require individualized treatment. This review highlights the need for diagnostic vigilance and the development of standardized management protocols. Further research is needed to optimize clinical outcomes. |
| format | Article |
| id | doaj-art-96db786bb7d348bea750a8b0fc91efc1 |
| institution | DOAJ |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-96db786bb7d348bea750a8b0fc91efc12025-08-20T03:14:46ZengMDPI AGDiagnostics2075-44182025-05-011510127010.3390/diagnostics15101270Vulvar Hemangioma: A ReviewWing-Yu Sharon Siu0Yen-Chang Chen1Dah-Ching Ding2Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien 970, TaiwanDivision of Digital Pathology, Department of Anatomical Pathology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, TaiwanDepartment of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien 970, Taiwan<b>Objectives</b>: To review the clinical presentation, diagnostic approach, treatment strategies, and outcomes of vulvar hemangiomas, and to evaluate the consistency of management practices in the absence of standardized guidelines. <b>Eligibility criteria</b>: We included case reports, case series, and observational studies describing vulvar hemangiomas with clinical, histological, and management data in human subjects. Reviews, editorials, and studies unrelated to vulvar hemangiomas were excluded. <b>Information sources</b>: Systematic searches were conducted in PubMed, Embase, Scopus, and Web of Science up to 20 February 2025, with additional citation tracking. <b>Results</b>: 85 studies were included. Data were synthesized narratively due to heterogeneity in the study design and outcome reporting. Most studies described symptomatic lesions presenting as swelling, bleeding, or pain, often misdiagnosed as Bartholin cysts or varicosities. Treatment varied widely, including observation, surgical excision, embolization, and medical therapies. No evidence-based guidelines were identified. <b>Conclusions</b>: Vulvar hemangiomas are rare and frequently misdiagnosed. While asymptomatic lesions may be observed, symptomatic cases require individualized treatment. This review highlights the need for diagnostic vigilance and the development of standardized management protocols. Further research is needed to optimize clinical outcomes.https://www.mdpi.com/2075-4418/15/10/1270vulvar hemangiomacavernous hemangiomavascular tumordifferential diagnosishistology |
| spellingShingle | Wing-Yu Sharon Siu Yen-Chang Chen Dah-Ching Ding Vulvar Hemangioma: A Review Diagnostics vulvar hemangioma cavernous hemangioma vascular tumor differential diagnosis histology |
| title | Vulvar Hemangioma: A Review |
| title_full | Vulvar Hemangioma: A Review |
| title_fullStr | Vulvar Hemangioma: A Review |
| title_full_unstemmed | Vulvar Hemangioma: A Review |
| title_short | Vulvar Hemangioma: A Review |
| title_sort | vulvar hemangioma a review |
| topic | vulvar hemangioma cavernous hemangioma vascular tumor differential diagnosis histology |
| url | https://www.mdpi.com/2075-4418/15/10/1270 |
| work_keys_str_mv | AT wingyusharonsiu vulvarhemangiomaareview AT yenchangchen vulvarhemangiomaareview AT dahchingding vulvarhemangiomaareview |