(Disclaimer: This article is for general use only. To protect patient privacy, the information in the following content has been processed) Abstract: An elderly female patient presented with a subcutaneous mass in the right palm for more than 40 days, accompanied by pain and distension. After admission, the patient underwent hemangioma resection under local anesthesia due to obvious symptoms. The patient was discharged after 3 days of postoperative observation and regular drug changes, which showed good healing of the incision without redness, swelling and exudation. The patient was discharged from the hospital. [Basic information] Female, 68 years old [Disease type] Hemangioma [Hospital] Liaoning Provincial People’s Hospital [Consultation date] February 2022 [Treatment plan] Hemangioma resection + symptomatic treatment (Dizocin injection + Myclobutanil tablets) [Treatment cycle] Hospitalization for 7 days, outpatient review 1 and 3 months after surgery [Treatment effect] The patient’s swelling and pain disappeared after surgery, the swelling was removed, and the incision healed well. No recurrence of hemangioma was observed during the follow-up period. In February 2022, a 68-year-old female patient came to the outpatient clinic with a subcutaneous swelling with pain in her right hand for more than 40 days as the main complaint. The patient presented with a subcutaneous swelling in her right hand with pain for no apparent cause more than 40 days ago. Ultrasound was performed in the outpatient clinic, suggesting a 0.5×0.3 cm hypoechoic right palm dermis with clear borders, which was filled with colored blood flow signal, and hemangioma was considered. The patient had normal diet, normal sleep, normal bowel movements and no significant weight loss. The right palm was found to be a 5×3mm tough mass with clear borders and positive pressure pain. The skin color of the right hand was normal and the skin temperature was slightly high. Treatment After admission, the relevant biochemical examination and laboratory tests were completed, and there was no obvious contraindication to surgery. The patient’s current ultrasound showed 0.5×0.3 cm hypoechoic right palm dermis with clear border, which was filled with colored blood flow signal, and hemangioma was considered. The patient was advised to undergo surgery because of the distension and pain of the hemangioma in the last 40 days or so, and after the patient and family agreed, hemangioma resection was performed under local anesthesia. The operation time was half an hour, and the superficial hemangioma in the subcutaneous dermis and fat layer was seen during the operation. The patient’s postoperative results were remarkable. The palm mass was completely excised after surgery, and there was no swelling, distension and other symptoms. After giving the patient symptomatic treatment after surgery, there was no obvious postoperative incision pain and the incision healed well. One month after discharge, the incision was completely healed, no swelling, pain and other symptoms recurred, no subcutaneous swelling, and no recurrence of hemangioma. At the outpatient review 3 months after the operation, the patient’s scar almost disappeared, and there was no clear recurrence of hemangioma or subcutaneous swelling, and no obvious complaints of discomfort. IV. Precautions 1. We are glad that the patient was treated and the subcutaneous swelling under the palm of the hand was removed. However, after superficial hemangioma resection, we should pay attention to a light diet, do not eat spicy and stimulating food, absolutely quit smoking and alcohol, eat more fresh fruits and vegetables, eat more high-quality protein, pay attention to keep the incision dry and avoid infection; 2. Since hemangioma is prone to recurrence, if preoperative swelling appears at the surgical site with symptoms of distension and pain, we should pay attention to whether it is a recurrence of hemangioma. Under normal circumstances, regular review of hemangioma is not required. Once the above-mentioned situation occurs, prompt medical attention should be sought. V. Personal insight Hemangioma is one of the most common diseases in vascular surgery. Most hemangiomas are congenital, but some are formed by gradual expansion of blood vessels later in life. Most hemangiomas are confined to the skin and subcutis, and generally do not invade the dermis, except for a few special types of hemangiomas. Most hemangiomas are confined to the skin and subcutaneous area and generally do not invade the dermis, except for a few special types of hemangiomas. If symptoms such as swelling and pain occur in patients like this case, surgery can be considered. Surgical excision is a relatively complete treatment for hemangioma at present, but attention still needs to be paid to the recurrence of hemangioma.