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Diagnosis:
This lesion is a typical infantile hemangioma lesion. In
general, no imaging is needed. However, if there is concern
for possible involvement of the skull or associated
intracranial abnormalities, then MRI and/or CT would be
appropriate. CT would be ideal at this age based on the fact
that MRI generally requires sedation and sedation is not
appropriate in patients younger than 6 months of age. Dr.
Burrows states "imaging is needed in problematic
hemangiomas of head and neck that do or may require
pharmacological therapy, including hemangiomas of the orbit
and airway or involving high risk "patterns" such
as beard or regional distribution".
Treatment
/ Recommendation:
Most physicians who
commonly deal with hemangiomas prefer "wait
and see" , but some surgeons suggests an early surgical
intervention. some dermatologist use laser, in this case
it may help to some degree; however, using a phrase “having it
removed using laser” is misleading. The laser
usually works for very superficial lesions and generally
recommended for complicated cases.
Some physicians would recommend steroid
therapy, probably not needed in this case since it is
not a very large lesion and there is no significant health risk.
Embolotherapy is not an option due to the lesion's small
size and also there is no significant potential health risks
(e.g., hemorrhage). In summary, recommend searching for a
surgeon/physician in your area who deals with hemangiomas
commonly and follow his/her recommendations.
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