Which department should a baby with hemangioma see?

Written by Zhang Xian Hua

Pediatrics

Updated on September 04, 2024

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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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Is a hemangioma in the nose dangerous?

Nasal hemangiomas are primarily caused by congenital or acquired vascular malformations. The risks associated with them include the following points: First, the vessel walls of hemangiomas are imperfect and prone to bleeding. Excessive bleeding can lead to hemorrhagic shock. Furthermore, significant bleeding can cause blood to flow back into the respiratory tract, leading to coughing fits and even the risk of suffocation. Second, although hemangiomas are benign in nature, a few of them possess the biological characteristic of expansive growth. This characteristic can damage surrounding tissues, such as destroying the wall of the vessel and the structure of the tumor, thereby exhibiting malignant-like biological behavior. Therefore, active treatment is necessary.

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The difference between lipomas and hemangiomas

Lipomas and hemangiomas are not the same disease and are not directly related. Lipomas generally occur in superficial parts of the body, sometimes in the muscle layer. Lipomas typically have a complete capsule and exhibit a lobulated shape. They are usually soft, and patients do not exhibit obvious local symptoms. On the other hand, hemangiomas often occur in solid organs, including liver hemangiomas, spleen hemangiomas, and kidney hemangiomas. Hemangiomas can also appear in superficial areas, such as the skin where they can form strawberry-like lesions, causing discomfort due to their appearance. However, most hemangiomas do not tend to enlarge and are benign, requiring no special treatment.

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What should I do if a child has a hemangioma on their foot?

The child has a hemangioma on their foot, and parents can temporarily observe it as some hemangiomas may heal on their own, so there is no need to rush into treatment. Moreover, a hemangioma on the foot usually does not affect the child's health, as it is neither itchy nor painful, and it does not affect the appearance either. If the hemangioma grows very rapidly, and it has not receded by the time the child is five years old, consider using injections of sclerosing agents or surgical treatment options to remove the hemangioma. If the hemangioma is small and not growing rapidly, parents may not need to undertake any special treatment, as a hemangioma on the foot does not affect the body nor does it impact appearance.

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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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The difference between granuloma and hemangioma

Granulomas and hemangiomas are both relatively common in clinical settings, yet they have fundamental differences. A granuloma often refers to the proliferation of macrophages and their derivative cells following inflammation in tissues or organs, forming a nodule known as a granuloma, which is actually caused by the inflammation. Hemangiomas, on the other hand, are usually tumors that form from the proliferation of blood vessel-forming cells during embryonic development, and they have no significant relationship with inflammation. Hemangiomas are also a type of benign tumor, which is the main difference between the two.