Treatment of infant hemangioma

Hemangiomas are the most common benign tumors in infants and children. It is present at birth in about 3/4 of cases. They can grow anywhere on the body, but are more common in the skin and subcutaneous tissue. They are generally classified as capillary hemangioma, cavernous hemangioma and manubrium hemangioma. Some infants and children with hemangiomas that do not increase in size may be considered for temporary observation. 25% of patients with hemangiomas will recede on their own without treatment, but they should be treated promptly if they grow rapidly. Current treatment methods include surgical excision, radiation therapy, cryotherapy, laser therapy, sclerotherapy, etc. Generally, doctors use individualized treatment according to the child’s condition. The best time to start treatment for infant hemangioma is: a full-term child in good health. 1.Medication: The endothelial cells of blood vessel wall in infants or children are still in embryonic state and are more sensitive to hormone treatment. For infants and children with fast-growing cavernous hemangioma, prednisolone can be injected into the tumor cavity, or prednisone can be taken orally, but it has certain side effects. Adult hemangioma is not sensitive to hormone. 2.Sclerotherapy injection: This method is derived from the age of hemorrhoid injection therapy. Its principle is to inject sclerosis into the tumor tissue of hemangioma (can not be injected into the blood vessels), causing sterile inflammation swelling disappears after the local fibrosis reaction. In spongiform hemangioma, 3% sodium cod liver oil or other vascular sclerosing agents such as polyglactin are injected into the tumor cavity to cause fibrosis and lumen atresia, resulting in tumor shrinkage or disappearance. Temporary compression of the surrounding tissues and blocking of blood flow are recommended when injecting, and the injection should be given once in 1-2 weeks. The amount of injection depends on the size of the tumor. If the efficacy is not good, surgical resection can be used. 3.Cryotherapy: It is rarely used for infants and children. The strong low temperature of liquid nitrogen is used to condense the skin hemangioma and the tissues around the hemangioma to form ice crystals in the cells and cause the cells to rupture and die, then the hemangioma will disappear through the repair process of the body, but this method will leave local scars. 4.Radiotherapy and isotope therapy: The effect of radiotherapy is not sure yet, and it may cause cancer, so it is rarely used for infants and children. The treatment principle is to use the r-rays produced by radioactive elements to break the DNA and RNA strands in the lesion area to terminate the synthesis of nucleoproteins, causing cell death and disintegration to achieve the treatment purpose. Laser treatment: Using professional laser treatment equipment to coagulate the hemangioma tissue and achieve the purpose of treating regional hemangioma. Therefore, it has certain effect on superficial capillary hemangioma, but it is easy to cause bleeding and scar deformity to deep hemangioma and has bad effect. 5.Photosensitive laser therapy: (also called photodynamic laser therapy) is to inject photosensitizer into the patient’s blood vessels first, and then use black light or long wavelength laser to irradiate the hemangioma area after the activation of photosensitizer to produce photochemical reaction and lead to the emergence of photographic process in the endothelium and interstitium of the hemangioma, so as to occlude the lumen of the blood vessels for the purpose of treatment. 6.Ultrasound microintermediation: Ultrasound microintermediation is a new development of hemangioma treatment in ultrasound medical technology. Under the three-dimensional visualization, the drug can reach the center of the hemangioma tumor in the body directly. It opens up a brand new way for clinical treatment of huge hemangioma in vivo (liver, etc.) and on the body surface At present, there are more methods to treat hemangioma, but the problem of treating certain large hemangioma has not been completely solved. The earlier the infant hemangioma is treated, the better the results. The following care should be done for children with hemangioma: 1. Babies with hemangioma should cut their nails diligently or wear good gloves, don’t let the child scratch it accidentally, once it bleeds, the amount is a lot, and the trauma of hemangioma does not heal well and is prone to infection, which is more and more risky. 2, keep the surface of the hemangioma clean and dry, not to say that the place with hemangioma can not be bathed and can not touch the water, you can take a bath, but after the bath, pay attention to use soft tissue gently dried, do not rub back and forth, friction is easy to break. In case the hemangioma breaks down, you should use sterile gauze to stop the bleeding and ask the doctor to deal with it in time. 4. Early detection, early diagnosis and early treatment also do not give the chance for hemangioma to break down.