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Venous lakeD18.0

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 10.12.2021

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Synonym(s)

angioma of the lip; lip angioma; Lip Margin Angioma; Lip Phlebectasia; Phlebektasia of the lip; senile angioma of the lips; vasectasia of the lip; Venous lake

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HistoryThis section has been translated automatically.

Bean and Walsh, 1956

DefinitionThis section has been translated automatically.

Varicose vascular ectasia(phlebectasia, blood lake), which presents as a lentil- to pea-sized, completely asymptomatic , dark purple, flatly protuberant, usually completely expressible soft elevation.

ManifestationThis section has been translated automatically.

After the age of 40.

LocalizationThis section has been translated automatically.

Usually lower lip, less often on the upper lip.

Clinical featuresThis section has been translated automatically.

0.2-0.6 cm in size, initially only flat, in a later stage also distinctly protruding, blue-red, usually completely pushable away, round or oval, completely asymptomatic. soft elevation with a smooth surface. Phlebectasia of the lower lip is (wrongly) called "senile angioma" or lip margin angioma, because it is only a conglomeration of ectatic, capillary or venous vessels.

HistologyThis section has been translated automatically.

Venektasia (dilated venules or communicating capillary ectasia) in the upper dermis, lacunar cavities with thin walls and focal smooth muscle actin-positive muscle cells and pericytes. Also fresh or older thrombi.

TherapyThis section has been translated automatically.

Sclerotherapy: As first step therapy sclerotherapy with 1% or 2% polidocanol injection solution (e.g. Aethoxysklerol) can be performed. Procedure: Puncture the vascular ectasia flatly with a fine needle, aspirate the contents, inject 1-2 trp. of the sclerosing fluid. Then compress the lip against the dentition for 30 minutes. Repeat sclerotherapy if necessary (Cebeci D et al. 2021).

Excision: If unsuccessful (approximately 30%), surgical excision in LA. Narrow spindle excision without safety margin. Lateral undermining usually not necessary. Single button sutures with finest skin suture. Notice. The excision lines on the lips must be marked before local anaesthesia!

Laser treatment: CO 2 laser successful in case studies.

LiteratureThis section has been translated automatically.

  1. Bean WB, Walsh JR (1956) Venous lakes. Arch Dermatol 74: 459-463
  2. Cebeci D et al. (2021) Venous Lakes of the Lips Successfully Treated With a Sclerosing Agent 1% polidocanol: analysis of 25 report cases. Int J Surg Case Rep 78:265-269.
  3. del Pozo J et al. (2003) Venous lakes: a report of 32 cases treated by carbon dioxide laser vaporization. Dermatol Surg 29: 308-310
  4. Mangal S et al (2014) Senile hemangioma of the lips. Indian J Dermatol 59:633.
  5. Suhonen R, Kuflik EG (1997) Venous lakes treated by liquid nitrogen cryosurgery. Br J Dermatol 137: 1018-1019.

Authors

Last updated on: 10.12.2021

Author: Prof. Dr. med. Peter Altmeyer