Guidelines for Treating Different Stages of Hemangioma

Pfeiffer, Naomi

doi:10.1089/clm.1994.12.239

Cited by 1 publication

(4 citation statements)

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“…The management of hemangiomas remains a subject of considerable controversy. 6,[76][77][78][79][80][81][82] There are certain clear indications for operative therapy, but these are limited to a small population of lesions. On the other hand, the natural history of hemangiomas is involution after a period of rapid growth, and many physicians emphasize an approach of careful observation with limited intervention.…”

Section: Managementmentioning

confidence: 99%

“…A contrary view has been espoused by Waner and Suen. 60,76 They cite their own experience, along with that of Finn et al, 14 indicating that approximately 50% of all children with hemangiomas will require operative therapy. They also believe that the tremendous psychosocial impact of these disfiguring lesions has been underestimated in the literature.…”

Section: Managementmentioning

confidence: 99%

“…84 There have been numerous other reports on the use of corticosteroids in children with hemangiomas. 60,[76][77][78][79][80][81][82][85][86][87][88][89][90][91][92] To date, the exact mechanism of action of corticosteroids causing regression of hemangiomas is unknown. Corticosteroids are not uniformly successful in resolving hemangiomas, however.…”

Section: Managementmentioning

confidence: 99%

“…The pulsed dye laser is also useful for the treatment of telangiectasias after the hemangioma has involuted. 60,76 Another laser that has been reported for the surface treatment of hemangiomas is the copper vapor laser. 118 This laser has a wavelength of 587 nm, which corresponds very closely to the absorption peak of oxyhemoglobin at 577 nm.…”

Section: Managementmentioning

confidence: 99%

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Hemangiomas: An Overview

Sundine

Wirth

2007

Clin Pediatr (Phila)

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Hemangiomas are the most common tumors of infancy 2 and are also the most common tumors of the head and neck in infancy. 3 The incidence of hemangiomas in the first 3 days of life is 1.1% to 2.6% 4,5 and increases to 8.7% to 12.7% between the ages of 1 month and 1 year of life. [6][7][8] Amir et al 8 found that the incidence of hemangiomas increased with prematurity. In infants with birth weights of less than 1500 grams, the incidence of hemangiomas was 15.6%, and as the birth weight decreased below 1000 grams, the incidence of hemangiomas increased to 22.9%. Holmdahl 9 did not observe any difference in the incidence of hemangiomas between premature and mature infants; however, a review of his study shows that the birth weights of the infants were much greater than those of Amir et al. 8 A review of 830 patients examined by a single pediatric dermatologist during a 3-month period found vascular lesions to be the most common, with 44% of infants having these lesions. 10 Hemangiomas are more frequent in girls than boys, ranging from a 3:1 to 5:1 ratio. [11][12][13] They are thought to be more common in white patients than in blacks; however, Pratt 4 noted an 1% incidence of hemangiomas in black infants. Most series show an increased incidence of hemangiomas in the head and neck region, followed by the trunk and then the extremities. 12,14 The incidence of hemangiomas in infants whose mothers underwent chorionic villus sampling is 10 times greater than those infants whose mothers did not undergo the procedure. 15 Approximately 20% of infants will present with more than 1 lesion. 16 Most hemangiomas occur sporadically; however, a family history of hemangioma has been noted to be present in up to 10% of patients with hemangiomas. 12 Recently, Blei et al 17 were able to identify 6 families that demonstrated autosomal dominant transmission with moderate-to-high penetrance of hemangiomas. The female-male ratio was 2:1,

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