Will hemangiomas resolve on their own?

Written by Zhou Chen
Oncology
Updated on September 15, 2024
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Pediatric hemangiomas are relatively common congenital disorders in pediatric surgery, frequently found on the face, body surface, and limbs. They appear as red or purplish-red protruding lumps with clear boundaries. These lumps do not blanch when pressed, grow in size with the child's growth and development. Clinically, pediatric hemangiomas are categorized into capillary hemangiomas, cavernous hemangiomas, and racemose hemangiomas. Capillary hemangiomas in children often disappear on their own within one to two years, while cavernous and racemose hemangiomas usually require surgical treatment. Thus, it is said that pediatric capillary hemangiomas can regress spontaneously.

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Written by Li Chang Yue
General Surgery
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Can a hemangioma be seen on a CT scan?

Hemangiomas, especially typical or larger ones, can generally be identified or diagnosed through a CT scan. However, for smaller hemangiomas, a plain CT scan usually cannot conclusively diagnose the condition. For a definitive diagnosis of a hemangioma, an enhanced CT scan can be conducted. This type of CT scan can typically diagnose the disease and also help differentiate hemangiomas from other types of tumors. Therefore, for patients with hemangiomas, if they wish to use CT for diagnosis and examination, it should be combined with some color Doppler ultrasound and, if necessary, some MRI or enhanced CT scans for further diagnosis.

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Written by Li Chang Yue
General Surgery
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Do hemangiomas differentiate between benign and malignant?

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 Zhang Xian Hua
Pediatrics
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Which department should a baby with hemangioma see?

The department for treating infantile hemangioma should be determined based on the location, size, and severity of the hemangioma. If the hemangioma is located on the surface of the body, it is generally appropriate to consult the department of plastic and cosmetic surgery. If the hemangioma is on the face, the oral medicine department should be visited. If the hemangioma is around the eyes, then the ophthalmology department should be consulted. If the hemangioma is internal or if there are other concurrent tumorous diseases, it may be necessary to visit the pediatric hematology-oncology department or the corresponding surgical department. This would be the most appropriate and correct choice.

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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 Yan Chun
Oncology
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How to determine if a hemangioma is regressing

Clinically, hemangiomas are a type of benign tumor that mostly require medication, surgery, or local treatments to regress. In rare cases, hemangiomas can regress spontaneously, especially when they are small and the underlying cause of the hemangioma has been removed. Then, the color of the hemangioma may change from its original dark red to a bright red, and gradually change to a color similar to that of normal skin, indicating that the hemangioma has regressed. Clinically, depending on the impact of the hemangioma on the patient, treatment options can include medication, local microwave therapy, laser treatments, or surgical removal.