Do Hemangiomas Need to be Treated?

Management Strategies for Infantile Hemangiomas

Whether hemangiomas need to be treated or not is a subject of controversy because almost all hemangiomas involute (with or without any sequela). This page is dedicated to explaining available treatment regimens. It is important to note that early recognition and appropriate referral are critical in order to obtain best possible outcomes.  Although, it is commonly stated that most hemangiomas disappear without any treatment and no treatment is initiated in the majority of patients, approximately 50-60% of children with hemangiomas require corrective surgery because of incomplete resolution of the hemangioma causing a residuum of telengiectasia, epidermal atrophy and/or excessive fibrofatty tissue. The goal of treatment would be the minimization of complications, maximization of the amount of normal skin at the end of involution phase, and a decrease in the age at which complete regression is obtained. 

There are a few instances in which a consensus exists among physicians to initiate some form of treatment. These instances typically include periorbital hemangiomas (causing a threat to vision), visceral hemangiomas (liver, gastrointestinal, brain etc.), hemangiomas with high-output heart failure, hemangiomas with significant or persistent ulcerations, and airway hemangiomas. Treatment for other hemangiomas is controversial and may vary among physicians who treat hemangiomas.   

Click the available treatment options below for more information:

 

 

 

References:

A.M. Margileth. Pediatric Dermatology 1997;14:57-83 / Bowers RE, Graham EA, Tomilson KM. Arch Dermatol 1960;83:667-680 / Edgerton MT, Hiebert JM. Hemangiomas. Curr Probl Cancer 1978;2:1 / Finn M, Glowacki J, Mulliken JB. J Pediatr Surg 1983;18:894 / Jacobs AH. Ca Med 1957;86:8-10 / Goldberg GN. Pediatric Dermatology 1997;14:57-83 / Morelli JG. Pediatric Dermatology 1997;14:57-83 / Morelli JG, Tan OT, Weston WL. Am J Dis Child 1991;145:1062-4 / Mulliken JB. Pediatric Dermatology 1997;14:57-83 / Moroz B. Pediatric Dermatology 1997;14:57-83 / Rogers M. Pediatric Dermatology 1997;14:57-83 / Rothman KF. Pediatric Dermatology 1997;14:57-83 / Sadan N, Wolach B. J Pediatr 1996;128:141-146 / Sloan GM, Reinisch JF, Nichter LS, et al. Plast Reconstr Surg 1989;83:459-466 / Waner M. Pediatric Dermatology 1997;14:57-83 / Waner M, Suen JY. Laryngoscope 1992;102:1123-32  

 

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