Vascular (Angioma / Cherry angioma)

Introduction

A hemangioma, also known as an angioma or cherry angioma, is a benign skin lesion resulting from the proliferation of blood vessels. Although not usually a health risk, they may be of interest for aesthetic or diagnostic reasons. Hemangiomas are common, especially among adults, and although they rarely require treatment, their presence can raise questions about skin health.

Types of hemangiomas

Cutaneous hemangioma

Cutaneous hemangioma is the most common type, appearing on the surface of the skin as small, red, raised spots. They can appear in various places on the body and often increase in size with age.

Choroidal angioma

Also known as cherry angioma, senile angioma occurs more frequently in older people. Its main feature is its intense red colour, which is due to the accumulation of small blood vessels.

Other types of angioma

In addition to cutaneous and senile angiomas, there are other types, such as hepatic angiomas, which may require a different diagnostic and therapeutic approach.

Causes of hemangiomas

Genetic factors

Genetics play an important role in the predisposition to develop hemangiomas. They often occur familially, indicating a hereditary basis for these lesions.

Environmental influences

Exposure to UV radiation and certain chemicals may influence the development of hemangiomas, although their role is not clearly confirmed.

Hormonal changes

Hormonal changes, such as those associated with pregnancy or menopause, can affect the incidence of hemangiomas. Hormones can stimulate the development of new blood vessels in the skin.

Symptoms and diagnosis

How do you recognise a hemangioma?

Hemangiomas are usually small, intensely red and slightly convex. They can be single or multiple and occur in various locations on the body.

Diagnostic methods

The diagnosis of hemangiomas is often based on their characteristic appearance. If in doubt, a dermatoscopy or skin biopsy can be performed to confirm the diagnosis.

Differences between hemangioma and other skin lesions

Hemangiomas can be confused with other lesions such as moles. It is important to differentiate as some moles may require a different therapeutic approach.

Treatment of hemangiomas

When is treatment necessary?

Hemangiomas usually do not require treatment unless they cause aesthetic discomfort or bleeding. In such cases, it is advisable to consult a dermatologist.

Treatment options

• Pharmacological: Rarely used, mainly for larger hemangiomas.
• Surgical: Surgical removal is possible, but most often unnecessary.
• Laser: Laser removal of hemangiomas is effective and often used for cosmetic purposes.

Natural treatment methods

Some people try natural methods, such as the use of essential oils, but their effectiveness is not scientifically proven.

Potential complications

Can hemangiomas be dangerous?

Hemangiomas are usually benign and do not pose a health risk. However, in rare cases, they can lead to complications such as bleeding or infection.

Risks associated with hemangiomas

Although hemangiomas rarely develop into malignant lesions, their presence can be mistaken for other potentially dangerous skin lesions. It is important to monitor their appearance regularly.

Hemangioma prevention

Can hemangiomas be prevented?

Although there is no guaranteed method to prevent hemangiomas, a healthy lifestyle and adequate skin protection can limit their development.

The role of diet and lifestyle

A healthy diet rich in antioxidants can support overall skin health. Avoiding overexposure to the sun and using UV filters are also recommended.

Vascularisation in children versus adults

Differences in incidence and treatment

Hemangiomas in children are often temporary and disappear spontaneously. In adults, hemangiomas are more permanent and may need to be removed if they are a cosmetic problem.

When to see a doctor?

It is a good idea to consult your doctor if a hemangioma is changing rapidly, bleeding or causing other symptoms. Regular monitoring is key, especially if there are multiple lesions.

Summary

Hemangiomas are common, benign skin lesions that rarely require medical intervention. Regular monitoring of their appearance and, if in doubt, consultation with a dermatologist is key. Patients should be aware that although hemangiomas are usually benign, any change in their appearance should be assessed by a specialist.

FAQ

Can hemangiomas develop into cancer?

No, hemangiomas are benign lesions and do not transform into malignant tumours.

Is removal of a hemangioma painful?

Removal procedures, such as laser therapy, are usually minimally invasive and well tolerated by patients.

How often should hemangiomas be checked?

Regular follow-up, every few months, allows you to monitor any changes in the appearance of the hemangioma.