What should be done about infantile hemangiomas?

Written by Yao Li Qin
Pediatrics
Updated on September 20, 2024
00:00
00:00

If an infant has a hemangioma, it is first necessary to assess the location and size of the hemangioma. Currently, the main treatments for hemangioma include: Firstly, oral medications such as Xin De An, which is commonly used for cardiovascular issues, can gradually reduce the size of the hemangioma. Although it is an oral medication, it is essential to conduct electrocardiograph and echocardiogram examinations before taking the medication, and the treatment should be carried out under the guidance of a hospital doctor, followed by regular observation. Secondly, topical application of certain eye drops may gradually reduce smaller hemangiomas. Thirdly, surgical treatment is used for particularly large hemangiomas to completely eliminate them. Another method is to treat older children with laser or plasma therapy; this is generally performed when the child is older, and the local treatment is quite effective.

Other Voices

doctor image
home-news-image
Written by Zhou Chen
Oncology
1min 7sec home-news-image

Can hemangiomas resolve on their own?

Infantile hemangiomas may regress spontaneously in some cases, so for lesions that are relatively stable in growth, temporary observation without treatment is recommended, especially avoiding surgical treatment. Radiation therapy, which may cause secondary developmental deformities, is not recommended. Medicinal treatment mainly involves the use of steroids and interferons. Steroid therapy is the most common drug treatment for hemangiomas, with the first reports of using steroids for hemangiomas appearing in the mid to late 1960s. Since then, prednisone and prednisolone have been considered first-line drugs for treating life-threatening or vision-threatening hemangiomas. The effective rate of steroid treatment for hemangiomas varies from 30% to 90%. Therefore, we suggest that since infantile hemangiomas can regress on their own, lesions that are stable in growth can be temporarily observed.

doctor image
home-news-image
Written by Yan Chun
Oncology
1min 10sec home-news-image

What should I do if there is a hemangioma on my tongue?

Hemangioma is a benign tumor that occurs in blood vessels, and the specific etiology and pathogenesis are not clear clinically. The tongue is a common site for hemangiomas. For hemangiomas on the tongue, it is necessary to comprehensively assess based on the type of hemangioma, location, depth of tissue invasion, the proximity to surrounding tissues, and the patient’s own physical condition, among other factors, to determine the most beneficial treatment method. Currently, the clinical treatments for hemangiomas include surgical treatment, radiation therapy, local sclerotherapy, laser treatment, or pharmacotherapy. Currently, there is no single clinical method that can completely treat all types of hemangiomas. For hemangiomas on the tongue that do not affect the overall function of the tongue, conservative treatment can be considered. For hemangiomas that have caused tongue ulcers, medication can be given to protect the mucous membrane of the tongue and promote faster healing of the ulcers.

doctor image
home-news-image
Written by Zhou Chen
Oncology
52sec home-news-image

Will hemangiomas resolve on their own?

Pediatric hemangiomas are relatively common congenital disorders in pediatric surgery, frequently found on the face, body surface, and limbs. They appear as red or purplish-red protruding lumps with clear boundaries. These lumps do not blanch when pressed, grow in size with the child's growth and development. Clinically, pediatric hemangiomas are categorized into capillary hemangiomas, cavernous hemangiomas, and racemose hemangiomas. Capillary hemangiomas in children often disappear on their own within one to two years, while cavernous and racemose hemangiomas usually require surgical treatment. Thus, it is said that pediatric capillary hemangiomas can regress spontaneously.

doctor image
home-news-image
Written by Li Chang Yue
General Surgery
43sec home-news-image

Is a hemangioma initially a red spot?

Hemangiomas indeed start as a red dot, and as the condition worsens or the hemangioma grows, some may gradually form patch-like appearances or well-demarcated lumps that rise above the skin. A primary characteristic is that the color of the hemangioma disappears when pressed, and the skin color lightens. When the external pressure is reduced or released, the hemangioma refills with blood and turns dark red or purple-red. This characteristic is very important for the diagnosis of hemangiomas. Therefore, patients with hemangiomas must seek early and timely consultation, examination, and treatment in dermatology (cosmetic science) or surgery.

doctor image
home-news-image
Written by Wu Ben Rong
Pediatrics
46sec home-news-image

Causes and Treatment of Infantile Hemangiomas

Infantile hemangiomas are usually caused by congenital factors, and the pathogenesis and specific causes of hemangiomas are not very clear at the moment. Since there is a certain possibility that infantile hemangiomas can heal on their own, if the hemangioma's location is not very noticeable and not particularly significant, it is advisable to initially observe it. If the hemangioma has not healed on its own by the time the child turns five, consideration can be given to treat it with sclerosing injections or through surgery. If the hemangioma is located in an internal organ and does not severely affect the child's health under normal circumstances, it could still be quite dangerous if it bursts. Therefore, parents should give it enough attention.