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Acta Medica Medianae
Vol. 46, No 4, December, 2007
UDK 61
YU ISSN 0365-4478




Contakt: Zlatan Elek
18/15 John Kennedy Street
38220 Kosovska Mitrovica
Phone: O28 422 251
E-mail: drzelek@gmail.com


Zlatan Elek, Zvonko Radosavljevic and Blazo Turkovic

Pediatric Surgery Health Center in Kosovska Mitrovica


Most vascular tumors comprise haemangiomas and hemangioendotheliomas. The peak of their incidence is usually seen in the fourth decade, whereas only 5-10% of them are seen in children. Infantile haemangioendothelioma is found in newborns and is usually discovered right after birth, whereas in case of infants it can be discovered during the first three months after birth. Haemangioendothelioma is described as seen in various organs: central nervous system, liver, urinary tract, retroperitoneum, lungs and heart. Subcutaneous forms are fairly frequent, but in most instances they represent a cosmetic problem, though in certain cases their localisation and size may be the cause of various functional difficulties. The paper presents a case of a nine-month-old female patient with a tumor in the region of labia majora that appeared at the age of 2 months, according to what parents said. The patient was adequately preoperatively prepered and was operated on under general endotracheal anaesthesia. Surgical intervention consisted of the excision to the extent of reaching the healthy tissue. Haemengioendothelioma in the region of labia majora is a rarity in terms of clinical practice. The accurate diagnosis of this tumour can be made by histopathological analysis only. Excision of tumor to the extent of reaching a healthy tissue is the treatment of choice. There are also descriptions of relapses occurring upon extensive excisions. Acta Medica Medianae 2007;46(4):74-76.

Key words: haemangioendothelioma, labia majora, excision