Case Report: Clinical management of genital, perineal, and perianal venous malformation in a five-year-old boy: therapeutic decision-making and review of current literature

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Venous malformations are low-flow vascular anomalies that can present as bluish lesions, particularly in the genital region of pediatric patients.
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A five-year-old boy with a venous malformation in the genital area underwent a staged treatment approach combining laser therapy and surgical excision.
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Comprehensive imaging, including ultrasound and MRI, is essential for assessing the extent of venous malformations, especially in the perineal region.
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Parental concerns about cosmetic appearance and potential psychosocial impacts often drive therapeutic decisions in managing pediatric venous malformations.
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The multimodal treatment approach resulted in a stable outcome with a natural cosmetic appearance and no functional impairment for the patient.

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