Can hemangiomas resolve on their own?

Written by Zhou Chen
Oncology
Updated on September 04, 2024
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Infantile hemangiomas may regress spontaneously in some cases, so for lesions that are relatively stable in growth, temporary observation without treatment is recommended, especially avoiding surgical treatment. Radiation therapy, which may cause secondary developmental deformities, is not recommended. Medicinal treatment mainly involves the use of steroids and interferons. Steroid therapy is the most common drug treatment for hemangiomas, with the first reports of using steroids for hemangiomas appearing in the mid to late 1960s. Since then, prednisone and prednisolone have been considered first-line drugs for treating life-threatening or vision-threatening hemangiomas. The effective rate of steroid treatment for hemangiomas varies from 30% to 90%. Therefore, we suggest that since infantile hemangiomas can regress on their own, lesions that are stable in growth can be temporarily observed.

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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.

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Written by Zhou Chen
Oncology
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Will hemangiomas resolve on their own?

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 Rui
Otolaryngology
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How to treat nasal hemorrhagic angioma?

There are many causes of nosebleeds. If the bleeding is caused by a hemangioma, surgery is generally required. After the surgical removal of the hemangioma, hemostatic treatment can usually be carried out. If the hemangioma is particularly small, some patients may also consider nasal packing for compression hemostasis. After compression by packing, some patients may have the hemangioma occluded and then stop bleeding. However, regular follow-ups are still needed in this situation, as some patients may experience recurrent conditions, and regular nasal endoscopy checks are required to observe any changes in the nasal and sinus conditions. Additionally, routine blood tests and coagulation function tests should be conducted to rule out any blood diseases.

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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 Zhou Chen
Oncology
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Is a hemangioma a tumor?

Hemangiomas are formed by the proliferation of vascular endothelial cells during embryonic development and are commonly seen in congenital benign tumors or vascular malformations of the skin and soft tissues, mostly observed at birth or shortly after birth. The residual embryonic vascular endothelial cells, active endothelial-like embryonic buds invade adjacent tissues, forming endothelial-like cords, which after canalization connect with existing blood vessels to form hemangiomas. The blood vessels within the tumor form a separate system, not connected to surrounding blood vessels. Hemangiomas can occur throughout the body; those occurring in the oral and maxillofacial regions account for 60% of all hemangiomas, followed by 25% in the trunk and 15% in the limbs. Therefore, some hemangiomas are congenital benign tumors, while others are caused by vascular malformations.