Dawaa Reference

chronic

Haemangioma or Lymphangioma

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources3 sources

Hemangioma - StatPearls - NCBI Bookshelf (NBK538232) - https://www.ncbi.nlm.nih.gov/books/NBK538232/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class SD28 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care

Verified against2 documents
  • No dose - referral pathway, no medicine given in primary care
  • Haemangioma or Lymphangioma - disease-level clinical article (haemangioma-or-lymphangioma-full.txt)

Verified date2026-08

Presentation reference

Is it this?

Reference only, to read alongside your own examination.

Symptoms — what the patient reports (2)

  • Superficial lymphangioma (lymphangioma circumscriptum) can cause itching, pain, burning, weeping fluid, infection, or cosmetic concern [itching]
  • Cavernous lymphangioma typically shows up in infancy as a painless, poorly defined swelling under normal-looking skin

Signs — what you find (5)

  • Lymphangioma circumscriptum appears as clustered, translucent or blood-tinged vesicle-like bumps resembling frog spawn [blisters · vesicles]
  • In the genital area, the surface can look warty and be mistaken for genital warts [genital warts]
  • Cavernous lymphangioma is often mistaken clinically for a cyst or a lipoma [cyst]
  • Cystic hygroma is a soft swelling of variable size on the neck, armpit, or groin that tends to enlarge unless surgically removed
  • A hygroma at the back of the neck can point to Turner syndrome, hydrops fetalis, or a similar congenital condition [hydrops fetalis]

Tests (3)

  • Diagnosis is usually made clinically; dermoscopy or biopsy can confirm it, and imaging shows depth and extent
  • Dermoscopy shows either yellow lacunae with pale borders, or yellow-pink lacunae mixed with dark-red or bluish ones when blood is present
  • Cystic hygromas can be seen before birth on transabdominal or transvaginal ultrasound, and MRI helps map how far a lesion extends

If not this — what else fits (4)

  • Cutaneous melanoma is on the differential for a pigmented or vascular-looking lesion
  • Herpes zoster and lymphangiectasia are also on the differential
  • Stewart-Treves syndrome is on the differential
  • Cutaneous lipomas are also on the differential

SourceStatPearls "Lymphangioma" - disease-level clinical article

Presentation findings are traced to the source above.

1

NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)

1st line
Adult dose and duration

Benign vascular or lymphatic malformations, often congenital, presenting as a raised birthmark that blanches on pressure; most infantile haemangiomas involute on their own, but larger or problematic lesions near the eye, airway, or with ulceration are treated with oral propranolol under specialist supervision, so the GP's role is monitoring and timely referral. - Refer, with advice

Paediatric dose

Children follow the same pathway: recognise and refer. No primary-care medicine is implied.

Dose source

No dose - referral pathway, no medicine given in primary care

Why

Benign vascular or lymphatic malformations, often congenital, presenting as a raised birthmark that blanches on pressure; most infantile haemangiomas involute on their own, but larger or problematic lesions near the eye, airway, or with ulceration are treated with oral propranolol under specialist supervision, so the GP's role is monitoring and timely referral.

Cautions
  • No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
  • RED FLAG - Cellulitis and lymphatic fluid leakage are common complications of lymphangioma circumscriptum.
  • RED FLAG - Large cystic hygromas of the neck can cause dysphagia and respiratory problems.
  • RED FLAG - A haemangioma near the eye, airway, or genitalia (risk of function-threatening growth), ulceration or bleeding of the lesion, or rapid growth in early infancy needing specialist review before it enlarges further.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.