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Cherry Hemangioma Treatment & Management

  • Author: Clarence William Brown, Jr, MD, FAAD; Chief Editor: Dirk M Elston, MD  more...
 
Updated: Mar 22, 2016
 

Medical Care

Medical intervention is not helpful and not indicated in the treatment of the benign vascular proliferations of cherry hemangiomas. Perform biopsy on lesions in which the diagnosis is doubtful. The biopsy procedure may be used as a therapeutic measure to remove traumatized or bleeding lesions.

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Surgical Care

Treatment for cherry hemangioma lesions is recommended only in situations of irritation or hemorrhage or in instances in which the lesions are deemed by the patient to be cosmetically undesirable.

Shave excision allows delicate removal of the lesion by blade and histologic confirmation of the diagnosis. Hemostasis following removal may be obtained by chemical means (aluminum chloride) or by performing electrocautery.

Curettage and electrodesiccation techniques permit reliable elimination of the lesion through tissue destruction. The risk of scarring usually is minimal when the technique is performed by a skilled operator.

Pulsed-dye laser ablation of lesions may be performed for cosmesis. The use of a pulsed dye laser with a green light source allows selective absorption of the laser energy by the hemoglobin contained within the red blood cells and subsequent obliteration of the vascular lumen.[6, 7, 8]

Cryotherapy is a less well-controlled means by which lesions are eliminated through irritation, coagulation, and subsequent destruction.

Sclerotherapy of individual lesions has been shown to have limited therapeutic benefit in treating cherry angiomas.[9]

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Consultations

Dermatologist consultation may be indicated. For multiple cherry hemangiomas that have appeared over a short period, refer the patient for evaluation to exclude an internal malignancy. In several patients, cherry hemangiomas that have erupted over a very short period were associated with an internal malignancy.[2]

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Diet

The occurrence of cherry angiomas has never been demonstrated to have any relationship to diet.

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Activity

The occurrence of cherry angiomas has never been shown to be related to the level of physical activity.

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Contributor Information and Disclosures
Author

Clarence William Brown, Jr, MD, FAAD Chief Executive Officer, University Dermatology

Clarence William Brown, Jr, MD, FAAD is a member of the following medical societies: American Medical Association, Chicago Medical Society, Illinois State Medical Society, Chicago Dermatological Society, Illinois Dermatological Society, American Academy of Dermatology, American College of Mohs Surgery

Disclosure: Nothing to disclose.

Specialty Editor Board

Richard P Vinson, MD Assistant Clinical Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine; Consulting Staff, Mountain View Dermatology, PA

Richard P Vinson, MD is a member of the following medical societies: American Academy of Dermatology, Texas Medical Association, Association of Military Dermatologists, Texas Dermatological Society

Disclosure: Nothing to disclose.

Warren R Heymann, MD Head, Division of Dermatology, Professor, Department of Internal Medicine, Rutgers New Jersey Medical School

Warren R Heymann, MD is a member of the following medical societies: American Academy of Dermatology, American Society of Dermatopathology, Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD Professor and Chairman, Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina College of Medicine

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

References
  1. Köhn FM. [Penile cherry angiomas]. MMW Fortschr Med. 2014 Nov 6. 156 (19):65. [Medline].

  2. Pembroke AC, Grice K, Levantine AV, Warin AP. Eruptive angiomata in malignant disease. Clin Exp Dermatol. 1978 Jun. 3(2):147-56. [Medline].

  3. Wu YT, Chang JM. Segmental dyschromatosis with blue naevi and cherry angiomas: a new syndrome?. Clin Exp Dermatol. 2014 Oct. 39 (7):819-21. [Medline].

  4. Ma HJ, Zhao G, Shi F, Wang YX. Eruptive cherry angiomas associated with vitiligo: provoked by topical nitrogen mustard?. J Dermatol. 2006 Dec. 33(12):877-9. [Medline].

  5. Zhu LL, Zheng S, Wei H, Hong YX, Zhang L, Zhang L, et al. Multiple cutaneous malignancies and cherry hemangiomas in a vitiligo patient treated with topical nitrogen mustard. Dermatol Ther. 2014 Jan-Feb. 27 (1):52-4. [Medline].

  6. Dawn G, Gupta G. Comparison of potassium titanyl phosphate vascular laser and hyfrecator in the treatment of vascular spiders and cherry angiomas. Clin Exp Dermatol. 2003 Nov. 28(6):581-3. [Medline].

  7. Gupta G, Bilsland D. A prospective study of the impact of laser treatment on vascular lesions. Br J Dermatol. 2000 Aug. 143(2):356-9. [Medline].

  8. Bernstein EF. The pulsed-dye laser for treatment of cutaneous conditions. G Ital Dermatol Venereol. 2009 Oct. 144(5):557-72. [Medline].

  9. Jairath V, Dayal S, Jain VK, Jindal N, Gogna P, Sehrawat M, et al. Is sclerotherapy useful for cherry angiomas?. Dermatol Surg. 2014 Sep. 40 (9):1022-7. [Medline].

  10. James WD, Berger TB, Elston D, eds. Dermal and subcutaneous tumors: cherry angiomas. Andrew's Diseases of the Skin: Clinical Dermatology. 11h ed. Philadelphia, Pa: WB Saunders; 2011. 574-619.

 
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A large polypoid angioma, deeply red to violaceous cherry, appears in the center of the field. Surrounding the angioma are several small bright red macules and papules that represent cherry hemangiomas in the earlier stages of evolution.
 
 
 
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