What should I do if my child has a hemangioma?

Written by Wu Ben Rong
Pediatrics
Updated on February 03, 2025
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Infantile hemangiomas are caused by congenital genetic defects leading to abnormal development of capillaries. Currently, there are no very effective treatments available, and the method of treatment can be chosen based on the size and severity of the hemangioma. If the hemangioma is relatively small and does not affect the child's body, it can be temporarily observed, as some children's hemangiomas may gradually heal on their own. If the hemangioma is larger, or has caused some related clinical symptoms, or has affected the child's appearance, it is advisable to consider going to a regular hospital for surgical removal. Postoperative prognosis for the child is generally good, and ideal treatment results can be achieved.

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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 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.

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Do hemangiomas in children pulsate?

Children's hemangiomas do not exhibit pulsation. Hemangiomas are benign tumors and can be categorized into true hemangiomas and vascular malformations. However, regardless of the type, hemangiomas generally do not show any obvious symptoms, neither pain nor itchiness. Those that grow on the surface of the skin are easily noticeable due to their obvious location. However, hemangiomas that develop in internal organs usually cannot be detected by oneself; they are typically found during physical examinations. Hemangiomas on the skin surface almost have no impact on children, but those growing in internal organs can be more dangerous if they grow large and rupture, possibly even threatening life. Therefore, if an internal organ hemangioma is discovered, it is crucial to treat it promptly.

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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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What should I do if there is a hemangioma on my tongue?

Hemangioma is a benign tumor that occurs in blood vessels, and the specific etiology and pathogenesis are not clear clinically. The tongue is a common site for hemangiomas. For hemangiomas on the tongue, it is necessary to comprehensively assess based on the type of hemangioma, location, depth of tissue invasion, the proximity to surrounding tissues, and the patient’s own physical condition, among other factors, to determine the most beneficial treatment method. Currently, the clinical treatments for hemangiomas include surgical treatment, radiation therapy, local sclerotherapy, laser treatment, or pharmacotherapy. Currently, there is no single clinical method that can completely treat all types of hemangiomas. For hemangiomas on the tongue that do not affect the overall function of the tongue, conservative treatment can be considered. For hemangiomas that have caused tongue ulcers, medication can be given to protect the mucous membrane of the tongue and promote faster healing of the ulcers.