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A Case Series of Genital Vascular Anomalies in Children and Their Management: Lessons Learned

机译：儿童生殖器血管异常的病例系列及其处理：经验教训

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To review our experience with genital vascular anomalies and discuss the management considerations for patients with associated genitourinary defects.We reviewed the presentation, course, management considerations, surgical treatment, and follow-up of all cases of genital vascular anomalies treated at a single institution from January 2008 to October 2011. The lesions were classified according to the International Society for the Study of Vascular Anomalies. All patients were boys <18 years old.We identified 3 patients with genital vascular anomalies. Of these 3 patients, 2 had an infantile hemangioma and 1 had a venous malformation. All lesions were identifiable on physical examination, and 2 of the patients presented within a few months of birth. One patient had associated genitourinary abnormalities that complicated his treatment. Scrotal ultrasonography and pelvic magnetic resonance imaging consistently showed the vascular anomalies to be highly vascular and distinct from the underlying testes. Both intrascrotal lesions were excised, and the cutaneous lesion was excised as a part of a larger genitourinary reconstruction. At a mean follow-up of 33 months (range 23-42), the intrascrotal infantile hemangioma had recurred, requiring repeat intervention, but the cutaneous hemangioma had not.Vascular anomalies of the male genitalia are rare. Pelvic magnetic resonance imaging is useful for characterizing the internal extent of vascular anomalies and ultrasonography is useful in monitoring these lesions over time. The timing of surgery and the high recurrence rate are important considerations when planning surgical resection of genital vascular anomalies, especially when associated with concomitant genitourinary defects.
机译：为了回顾我们在生殖器血管异常方面的经验并讨论对伴有泌尿生殖系统缺陷的患者的管理注意事项，我们回顾了从一家机构接受治疗的所有生殖器血管异常病例的表现，病程，管理注意事项，手术治疗和随访情况2008年1月至2011年10月。根据国际血管异常研究学会对病变进行分类。所有患者均为18岁以下的男孩。我们确定了3例生殖器血管异常患者。在这3例患者中，有2例患有婴儿血管瘤，而1例患有静脉畸形。体格检查可识别所有病变，其中2例在出生后几个月内出现。一名患者伴有泌尿生殖系统异常，使他的治疗复杂化。阴囊超声检查和盆腔磁共振成像始终显示血管异常高度血管化，与基础睾丸不同。切除了两个阴囊内病变，并且切除了皮肤病变，作为更大的泌尿生殖系统重建的一部分。平均随访33个月（范围23-42），阴囊内婴儿血管瘤已复发，需要重复干预，但皮肤血管瘤未复发。男性生殖器血管异常很少见。骨盆磁共振成像可用于表征血管异常的内部范围，超声检查可用于随时间监测这些病变。当计划对生殖器血管异常进行手术切除时，尤其是与伴随的泌尿生殖系统缺陷相关的手术时，手术时机和高复发率是重要的考虑因素。

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