Should hemangioma be treated and when is the best time to treat it? The question of whether hemangioma should be treated or not, or whether it is better to treat it earlier or later, often bothers many parents, and most importantly, many different doctors may give different or even diametrically opposed advice, so they don’t know who is good to listen to. In fact, most of the doctors who recommend not to treat hemangioma are pediatricians in maternal and child health hospitals, children’s hospitals or those general hospitals, because patients with hemangioma are infants and young children, so often parents think of going to maternal and child health hospitals, children’s hospitals or pediatric departments in general hospitals first. However, in fact, most pediatricians around the country actually carry out treatment for hemangioma in laser or plastic surgery departments in general hospitals, and occasionally in dermatology departments, while pediatricians often encounter patients with hemangioma during outpatient visits, but do not necessarily carry out treatment for hemangioma themselves, and therefore do not have actual experience in hemangioma treatment. The pediatrician’s advice that treatment can be avoided is often based on the theory that some hemangiomas will recede, as stated in textbooks. Therefore, it often happens that sometimes different departments may give different advice, and a laser or plastic surgeon may say to treat, while a pediatrician may say not to treat. Although in theory or in previous textbooks it is said that hemangiomas have the possibility of receding on their own, in many cases the treatment has to be based on the actual situation and not on theory. The actual experience of hemangioma treatment in general is that if the hemangioma is really mild and really does not continue to develop, it can be closely observed first, and some of the milder hemangiomas may recede on their own. However, if the hemangioma is already very large, or if it is very large, then it should be treated early, after all, the smaller the hemangioma is, the more likely it will recede on its own, but if the area of the hemangioma is already very large, or if the speed of expansion is already very fast, then the chance of receding on its own is smaller, and on the contrary, the chance of continuing to expand is greater, so at this time, it is best to treat it early, and at this time, if you still apply the textbook Sometimes hemangioma is not treated, and the treatment time is delayed by passively waiting for it to recede, and then it will be difficult to treat it. Although treatment is risky, if the hemangioma grows too fast and the risk of not treating it is greater than the risk of treating it, personal experience is that it is better to treat it, because a very large hemangioma is very difficult to subside, so sooner or later treatment will still be necessary, and it will be more difficult to treat it then. On the contrary, when the hemangioma is bigger, more drugs will be used, and the side effects will be even greater. No matter what method of treatment you use, as long as you are willing to treat it several times, the course of treatment can be cured, and the cure is not the most difficult thing, but the difficult thing is whether to cure it or not, or whether it is necessary to cure it. I personally think that the treatment of hemangioma should avoid two extremes, sometimes the treatment is not treated, negative waiting, always thinking that it will subside by itself, may delay the treatment time, but in turn over-treatment, it is not always good. Because the harm of hemangioma is mainly the destruction of local tissues caused by the rapid expansion of hemangioma, so when the hemangioma is large and fast, it should be treated, but when the hemangioma is under control and has mostly receded, it can be treated slowly first, and if it can recede on its own, it should not be treated. How to treat, when to treat, and to what extent to treat, we must weigh the trade-offs and not apply the theories in textbooks or on the internet. All treatments for hemangioma have some side effects, and the so-called treatments without any side effects are somewhat unrealistic and exaggerated. Often, those who do laser say laser is good, those who do injection say injection is good, those who do isotope say isotope is the best, and those who do surgery say surgery is the most suitable. In fact, it is impossible to have no side effects of treatment, but there is only a difference in the size of the side effects, or the side effects of some treatments, like a person who has suffered a trauma, looks terrible, such as scars, but actually has little impact on the body, while the side effects of some treatments, like a person who has suffered internal injuries, the appearance of no obvious problems, but in fact, the damage is internal, and even some years, more than a decade In some cases, complications may occur years or even decades later. It can be seen that the treatment of hemangioma is best based on the needs of the disease, the diagnosis and treatment, and the selection of the appropriate treatment method. No method is the best, and no method is the worst. A comprehensive department for the treatment of hemangioma should preferably have all treatment methods, or at least most of them, so that the treatment methods can be selected objectively according to the condition, instead of using only one treatment method, claiming that it is the best one and treating all hemangiomas in this way. Generally speaking, according to decades of experience in our department, if it is a strawberry hemangioma and it is relatively mild, it can be controlled with appropriate topical medication, and as long as the condition does not develop any further, we can stop using other complicated treatments, and then we can really wait and see if it will subside on its own. So, according to me, topical medication has so many advantages that are unmatched by other methods, doesn’t it sound like it should be the most appropriate treatment? But I’ll be honest, topical medication is good for everything, but the results are not particularly reliable, so I’m saying that if the area is small and the condition is mild, you can try topical medication to control the condition, and as long as the condition is controlled, it may subside on its own. But if the condition is indeed more serious, purely topical drug treatment may not work well, although other than what does not affect, but a waste of two or three hundred dollars, is always your parents hard earned money ah. If the effect of topical medication is not good, or the area is relatively large, it seems that the topical medication is not useful, the other treatment should be used, how to treat or how to treat, can not be worried about this worry about that and delay treatment. Theoretically, strawberry hemangioma can be treated with laser, injection, medicine, isotope, even surgery, minimally invasive intervention, superconducting intervention, etc. All treatments are effective. However, in practice, most hospitals that are equipped with a full range of treatment methods and not a single one, and that are commonly accepted by most departments, or most hospitals recommend laser or injection treatment, but my personal experience is that the combination of injection and laser treatment is often used to reduce the side effects of both and to improve the efficacy. And some particularly serious, or a very large area, that is to take medicine treatment. Isotopes because it is treated with radionuclide tablets emitted by the rays, now many non-isotope doctors have controversy about this, how good I will not deny, do not want to offend people, interested in their own online search. Surgery, minimally invasive interventions, superconducting interventions used to do vascular malformations that are more targeted, used to do strawberry hemangioma, like a cannon hitting a bird, you want to use of course, of course, the cannon can hit the bird, but the money spent that is not less, as long as you are willing to spend money, the hospital certainly welcome you, but the risks or side effects that should be there, not because you spend more money on less. Laser if you use the long pulse width 1064 nanometer laser, most of the treatment once or twice, control can be, of course, if you are using the previous dye laser, it is necessary to treat many times, identify what laser is very simple, do, if the light is very bright, a flash, the eyes look very uncomfortable, is 585 or 595 dye laser, if you do not see a flash of light, it is 1064, because 1064 is invisible light. But no matter what laser is used, in fact, most of them do not need to be treated until all of them subside, just control them, and the remaining ones can see if they will subside on their own. In the case of cavernous hemangioma or not very serious mixed hemangioma, the most common treatment is local injection of medication. Isotopes, topical medications or laser are not effective for spongy or mixed, and it is often a waste of money to use them, and you end up having to go for injections. Surgery, minimally invasive interventions, super-invasive interventions for this or so, can be used, but spend a lot more money, side effects or risks but not less than the injection. Although there are a lot of injections, but in fact any drug has side effects or risks, why? The reason is very simple, mainly because most of the children who get hemangioma are very small, so small children, even playing vitamins, I dare not say that there is no risk, let alone the drug for the treatment of hemangioma, is a drug three points poison, if there are really no side effects, the batch number of the drug is not a drug, but a quasi-brand health products. The most common type of injection is hormone, pinyamycin or polyglaucine, generally speaking, the most common type of hormone is hormone, more hospitals play pinyamycin, while the provincial capital city’s tertiary hospitals, if there are conditions, is to play more polyglaucine. I dare not say that these drugs are without side effects, but since the country’s major hospitals are using these drugs, it actually shows a problem, that is, these drugs are still recognized by most major hospitals, and these drugs at least after so long, so many hospital tests, is relatively appropriate. Of course, relatively speaking, polyglactin is the safest, hormones have the most side effects, and pinyamycin is between the two. If it is a very large hemangioma, it is usually treated with oral medication, commonly used drugs are hormones and insulin, hormones have more side effects, but generally do not need to be hospitalized for observation, insulin is a relatively new treatment method, I can only say that there are no side effects found for the time being, but it is necessary to be hospitalized for a week to monitor the heart rate, and it is mainly effective for children within three months. But if it is not a hemangioma, but a large vascular malformation, such as venous malformation, is not very serious, generally is also treated with local injection of drugs, but generally with 5% cod liver oil sodium, anhydrous ethanol or polyglaucine these drugs are more appropriate, or some more serious, can do minimally invasive intervention or surgery, minimally invasive intervention or surgery for vascular malformation, that is called targeted, this time with that is very But minimally invasive interventions and surgery require general anesthesia for inpatient treatment.