What should be done about infantile hemangiomas?

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

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Do hemangiomas in children pulsate?

Children's hemangiomas do not exhibit pulsation. Hemangiomas are benign tumors and can be categorized into true hemangiomas and vascular malformations. However, regardless of the type, hemangiomas generally do not show any obvious symptoms, neither pain nor itchiness. Those that grow on the surface of the skin are easily noticeable due to their obvious location. However, hemangiomas that develop in internal organs usually cannot be detected by oneself; they are typically found during physical examinations. Hemangiomas on the skin surface almost have no impact on children, but those growing in internal organs can be more dangerous if they grow large and rupture, possibly even threatening life. Therefore, if an internal organ hemangioma is discovered, it is crucial to treat it promptly.

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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.

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What should I do if my child has a hemangioma?

Infantile hemangiomas are caused by congenital genetic defects leading to abnormal development of capillaries. Currently, there are no very effective treatments available, and the method of treatment can be chosen based on the size and severity of the hemangioma. If the hemangioma is relatively small and does not affect the child's body, it can be temporarily observed, as some children's hemangiomas may gradually heal on their own. If the hemangioma is larger, or has caused some related clinical symptoms, or has affected the child's appearance, it is advisable to consider going to a regular hospital for surgical removal. Postoperative prognosis for the child is generally good, and ideal treatment results can be achieved.

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Will a hemangioma change color when pressed?

Hemangiomas fade when pressed and quickly redden upon release, suggesting the presence of a hemangioma. Hemangiomas are benign tumors that may grow as the body grows and can be observed over time without immediate treatment. For cosmetic reasons, treatment options include cryotherapy, laser treatment, or injection of a sclerosing agent. For smaller hemangiomas, laser treatment is recommended due to its relatively minimal harm to the body.

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Is it normal for a child to have hemangioma?

It is not normal for children to have hemangiomas. Hemangiomas are usually caused by congenital vascular malformations and may also be caused by hereditary factors resulting in true hemangiomas. However, regardless of the case, they are considered abnormal. Hemangiomas can be divided into two types: true hemangiomas and vascular malformations. True hemangiomas have a certain possibility of self-healing, so parents can temporarily observe. If the child does not heal by themselves after the age of five, timely treatment should be administered. Once a vascular malformation occurs, if it is not treated, it may persist throughout life. If it grows in some inconspicuous places on the skin surface, treatment may not be necessary. However, hemangiomas in the internal organs should receive enough attention and be treated as soon as possible.