Do hemangiomas differentiate between benign and malignant?

Written by Li Chang Yue
General Surgery
Updated on December 25, 2024
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Hemangiomas are a type of tumor commonly seen in clinical settings, generally not classified as benign or malignant because most hemangiomas are benign without malignant variants. Therefore, for patients diagnosed with hemangiomas, surgical removal may be considered if there is an impact on function or aesthetic appearance. Typically, treatment options for hemangiomas include surgical removal, the application of local sclerosing agents, or practices such as embolization. This is particularly true for visceral organs, such as liver and spleen hemangiomas, where interventional embolization can be utilized, yielding satisfactory results with minimal damage.

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Written by Zhou Chen
Oncology
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Are hemangiomas dangerous?

The hazards of hemangiomas include: First, they impact appearance. Most hemangiomas are located on the head and face, severely affecting one's appearance and causing great physical and emotional harm to both the patient and their family. Second, they affect function by invading surrounding tissues and impairing the normal functions of nearby organs. Third, the tumor can bleed, and severe bleeding may lead to hemorrhagic shock. Fourth, abnormal development, as the tumor compresses surrounding normal tissues, can lead to developmental disorders, affecting bone growth and causing severe deformities in limbs. Fifth, ulceration can occur when the hemangioma grows too quickly or due to friction, leading to ulcers and infections, and potentially malignant changes. Therefore, hemangiomas can be quite dangerous.

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Written by Wu Ben Rong
Pediatrics
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Will hemangiomas in children regress?

Hemangiomas in children may regress, but the likelihood is relatively low. Hemangiomas are a congenital vascular malformation and usually do not have a severe impact on the child's health. However, if the hemangioma is located in more visible areas such as the head, face, neck, or arms, it can affect the child's appearance. Moreover, if the hemangioma grows large, it may also rupture, posing a risk to health. It is recommended to observe the hemangioma if there are no related symptoms initially. If the child is around five or six years old and the hemangioma has not regressed, consider consulting a reputable hospital for surgical treatment.

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Written by Yao Li Qin
Pediatrics
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What should be done about infantile hemangiomas?

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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Written by Li Chang Yue
General Surgery
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What department should I go to for an eye hemangioma?

Hemangiomas of the eye generally require registration with the ophthalmology department first, but for some special parts of the eye, hemangiomas may affect the brain, so for more complex or difficult-to-diagnose eye hemangiomas, one can also register with the neurosurgery department for further diagnosis or assessment of the condition. Ophthalmology can treat eye hemangiomas through traditional surgical removal, as well as some methods like laser, cryotherapy, and liquid nitrogen, with relatively ideal effects. For deep or severe hemangiomas, a thorough preoperative assessment should be conducted, and then an appropriate treatment method should be chosen for surgical treatment, which generally yields a satisfactory outcome.

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Written by Zhou Chen
Oncology
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Can hemangiomas go untreated?

The severity of harm varies with different types of hemangiomas, such as in adults with mixed-type hemangiomas. These can continually develop as the patient ages. If the affected areas expand further, they may extend to tissues and organs like the eyes, nose, lips, or ears. These organs might then become covered by the expanding vascular tissue, potentially causing impairments in functions such as breathing, eating, vision, and hearing. If hemangiomas appear on the limbs, they can also lead to dysfunction, affecting mobility. Therefore, it is advisable to seek treatment for hemangiomas as early as possible.