Ultrasonography in the choice of surgical tactics for pyogenic granulomas of the skin in children: a clinical observation

  • 作者: Safin D.A.1,2, Polyaev Y.A.1, Nurmeev I.N.3, Mylnikov A.A.1,2, Mukhtarov I.R.4, Pakholik E.V.5, Amatov D.A.6, Zayalova G.I.3, Pecheritsa O.G.7
  • 隶属关系:
    1. Separate structural unit Russian Children's Clinical Hospital of the Federal State Autonomous Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» of the Ministry of Health of the Russian Federation, Moscow, Russia
    2. First center «Hemangioma», Moscow, Russia
    3. Federal State Budgetary Educational Institution of Higher Education «Kazan Medical University» of the Ministry of Healthcare of the Russian Federation, Kazan, Russia
    4. Limited Liability Company «Center for Children's Surgery», Ufa, Russia
    5. Medical Center «Doctor Plus», Limited Liability Company «Medical Plus», Obninsk, Russia
    6. Kyrgyz State Medical Academy named after I.K. Akhunbaev, Bishkek, Kyrgyzstan
    7. State Autonomous Institution of Healthcare "Children's Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan", Kazan, Russia
  • 栏目: CASE REPORTS
  • ##submission.dateSubmitted##: 12.04.2025
  • ##submission.dateAccepted##: 09.06.2025
  • ##submission.datePublished##: 09.06.2025
  • URL: https://jps-nmp.ru/jour/article/view/864
  • DOI: https://doi.org/10.17816/ps864
  • ID: 864


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BACKGROUND. Pyogenic granuloma (PG), also known as lobular capillary hemangioma (LCH), is an acquired benign vascular tumor, usually presenting as a solitary papule or nodule on the skin or mucosa, most often occurring in children aged 6–7 years. It is characterized by recurrence and bleeding with minimal trauma, while bleeding can be intense. Ultrasound imaging plays an important role in the differential diagnosis of pyogenic granulomas and the choice of treatment.

CLINICAL CASE DESCRIPTION. In this clinical observation, we present a case of successful laser treatment of a 3-year-old patient with pyogenic granuloma of the skin of the right temporal region. Ultrasound examination (US) in color Doppler mapping mode visualized a single vessel with a diameter of up to 0.09 cm approaching the base of the pyogenic granuloma, which in pulsed wave mode had an antegrade monophasic intermediate resistance blood flow spectrum with a linear blood flow velocity of 17.7 cm / sec. Under local application anesthesia Lidocaine 25 mg / g + Prilocaine 25 mg / g (Akriol-PRO), one session of laser therapy with an Nd: YAG laser was performed in a manner for which a patent was obtained (patent RU No. 2814754 SPK A61B 18/20 (2023.08) - 04.03.2024 Bulletin No. 7). After laser photodestruction, a control ultrasound was performed, in which the feeding vessel was not detected. The follow-up period was 2 years, no relapse was noted.

CONCLUSION. When ultrasound visualizes single vessels approaching the base of the pyogenic granuloma with a diameter of less than 0.5–1.0 mm, laser therapy methods can be used. In the case of multiple vessels approaching the base of the formation and vessels of larger diameter, preference is given to traditional methods of surgical removal followed by histological and immunohistochemical examination.

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作者简介

Dinar Safin

Separate structural unit Russian Children's Clinical Hospital of the Federal State Autonomous Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» of the Ministry of Health of the Russian Federation, Moscow, Russia; First center «Hemangioma», Moscow, Russia

Email: safindinar@ya.ru
ORCID iD: 0000-0001-9436-3352
SPIN 代码: 7879-7829

PhD; chief of department  of the First center «Hemangioma», Moscow, Russia; pediatric surgeon of the Department of X-ray Surgical Diagnostic and Treatment Methods of the Separate structural unit Russian Children's Clinical Hospital (RDKB FGAOU VO RNIMU named after N.I. Pirogov of the Ministry of Health of the Russian Federation), Moscow, Russia

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Yuri Polyaev

Separate structural unit Russian Children's Clinical Hospital of the Federal State Autonomous Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» of the Ministry of Health of the Russian Federation, Moscow, Russia

Email: polyaev@inbox.ru
ORCID iD: 0000-0002-9554-6414
SPIN 代码: 7587-9843

Grand Ph.D. in Medicine, professor; doctor for X-ray endovascular diagnosis and treatment of the Department of X-ray Surgical Diagnostic and Treatment Methods of the Separate structural unit Russian Children's Clinical Hospital (RDKB FGAOU VO RNIMU named after N.I. Pirogov of the Ministry of Health of the Russian Federation), Moscow, Russia

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Ildar Nurmeev

Federal State Budgetary Educational Institution of Higher Education «Kazan Medical University» of the Ministry of Healthcare of the Russian Federation, Kazan, Russia

Email: nurmeev@gmail.com
ORCID iD: 0000-0002-1023-1158
SPIN 代码: 7406-0564

Grand Ph.D. in Medicine, professor, professor of the Department of Pediatric Surgery Federal State Budgetary Educational Institution of Higher Education «Kazan Medical University» of the Ministry of Healthcare of the Russian Federation, Kazan, Russia

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Andrey Mylnikov

Separate structural unit Russian Children's Clinical Hospital of the Federal State Autonomous Educational Institution of Higher Education «Russian National Research Medical University named after N.I. Pirogov» of the Ministry of Health of the Russian Federation, Moscow, Russia; First center «Hemangioma», Moscow, Russia

Email: angio.doctor@mail.ru
ORCID iD: 0000-0003-3317-3058
SPIN 代码: 2225-1987

PhD; doctor for X-ray endovascular diagnosis and treatment of the Department of X-ray Surgical Diagnostic and Treatment Methods of the Separate structural unit Russian Children's Clinical Hospital (RDKB FGAOU VO RNIMU named after N.I. Pirogov of the Ministry of Health of the Russian Federation), Moscow, Russia

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Islamgaze Mukhtarov

Limited Liability Company «Center for Children's Surgery», Ufa, Russia

Email: islam107@mail.ru
ORCID iD: 0009-0002-7726-0567

Pediatric surgeon Children's Surgery Center, Ufa, Russia

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Elizaveta Pakholik

Medical Center «Doctor Plus», Limited Liability Company «Medical Plus», Obninsk, Russia

Email: pakholik.usd@yandex.ru
ORCID iD: 0000-0003-3042-7534
SPIN 代码: 8866-4068

Ultrasound diagnostics doctor at the medical center "Doctor Plus", Limited Liability Company "Medical Plus", Obninsk, Russia

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Daniyar Amatov

Kyrgyz State Medical Academy named after I.K. Akhunbaev, Bishkek, Kyrgyzstan

Email: daniiaramatov@gmail.com
ORCID iD: 0009-0005-1182-6953

Assistant of the department of faculty pediatrics Kyrgyz State Medical Academy named after I.K. Akhunbaev, Bishkek, Kyrgyzstan, Bishkek, Kyrgyzstan

Gulnar Zayalova

Federal State Budgetary Educational Institution of Higher Education «Kazan Medical University» of the Ministry of Healthcare of the Russian Federation, Kazan, Russia

编辑信件的主要联系方式.
Email: zayalova-16.03@mail.ru
ORCID iD: 0000-0001-5046-4629

Postgraduate student of the Department of Pediatric Surgery Federal State Budgetary Educational Institution of Higher Education «Kazan Medical University» of the Ministry of Healthcare of the Russian Federation, Kazan, Russia

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Olesya Pecheritsa

State Autonomous Institution of Healthcare "Children's Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan", Kazan, Russia

Email: sofiko-05@mail.ru
ORCID iD: 0009-0003-7862-9853

Ultrasound diagnostics doctor of the ultrasound diagnostics department of the State Autonomous Institution of Healthcare "Children's Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan", Kazan, Russia

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参考

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