What is “neonatal hemangioma”? Many mothers are scared of it! Some newborns have red “birthmarks” on their faces and bodies, just like bruises on their bottoms, and many parents don’t care. The incidence of hemangioma in newborns is about 3-8%. Neonatal hemangioma is not a real tumor, but a benign congenital tumor. It is a congenital developmental abnormality, which belongs to the nature of misshapen tumor and has the dual characteristics of malformation and tumor. Most hemangiomas are congenital developmental anomalies of a misshapen nature with both malformational and neoplastic properties. Some studies have shown that it is closely related to the increase of estradiol, and the occurrence of hemangioma is greatly related to environmental pollution, growth hormones, catalysts, additives and other chemicals contained in vegetables, fruits and meat. An important way to distinguish between hemangioma and birthmark is that hemangioma is generally bright red or dark red patches with irregular edges that fade when pressed, while birthmarks do not fade when pressed. 3. 3 common types of hemangioma Adolescent and adult hemangiomas all occur in the neonatal period when they are not detected in time or in infancy when they are not treated in time and slowly increase in size and thicken, and gradually turn purple in color from bright red. Currently, the common types of hemangioma in newborns can be divided into three types: capillary infantile hemangioma, spongy infantile hemangioma and trabecular infantile hemangioma. Type 1: capillary infantile hemangioma This is the most common type of hemangioma, which has various manifestations DD. 1.Orange most of them are plaques and vary in size, nor are they higher than the skin surface and are orange or light red. 2.White-red nevus is a light red to dark red plaque, soft and lobulated tumor, which does not fade when pressed and does not rise above the skin surface. It is usually found on the head and neck, and the tumor increases rapidly within a few months and can reach an area of several centimeters in size. 3. Strawberry hemangioma protrudes from the skin surface, increases and thickens with the child’s age, and can easily rupture and cause more than bleeding. Type 2: Spongy infantile hemangioma appears as an elevated lump under the skin, round or irregular in shape, and may rise above the skin surface. It is soft and elastic like a sponge when touched, and can shrink after squeezing, and the skin on the surface is normal or atrophied due to adhesion with the tumor. This kind of hemangioma is less obvious at birth, but it can increase rapidly within a few months, which is more harmful to babies. It occurs on its own, in the original capillary infantile hemangioma affected area or located under the skin, and it is usually found on the scalp and face, and can involve the mucous membrane of the mouth or throat. The third type: trabecular infantile hemangioma Trabecular infantile hemangioma can also appear on infants and children, but there are fewer clinical cases, this is mostly due to the enlarged small arteries and small veins communicate with each other and form hemangioma, the affected skin is dark red or blue-purple, sometimes you can also feel the pulsating arteries, trabecular infantile hemangioma will not naturally fade, need timely treatment. 4, small tumor big harm hemangioma is a kind of benign tumor composed of expanded, proliferating vascular tissue. Although hemangioma is benign, it can destroy the surrounding tissues, especially the infiltrative growth of hemangioma on the face, which affects the beauty. In some cases, hemangiomas can lead to numerous complications, such as ulceration, bleeding, and infection. It is not uncommon for delayed treatment of hemangioma to lead to more serious consequences: 1. The spread of hemangioma over a large area of the face can lead to disfigurement. 2. Some patients have hemangiomas growing at the joints, and if they are not treated in time, the hemangiomas will grow larger and thicker, limiting joint activities. Parents of newborns should pay particular attention to this. 5, pay more attention to suspicious red dots Hot weather, mosquitoes and insects gradually, if there are suspicious red dots on the newborn, parents should pay more attention to observe, the red dots do not disappear for a long time, then it may be hemangioma, it is best to take the child to the hospital to check, so as not to delay treatment. 6.3 principles of hemangioma treatment Principle 1: It is very important to diagnose the type of neonatal hemangioma because some types can subside by themselves without treatment, while some have the best time for treatment. Principle 2: Parents should carefully observe neonatal hemangioma. Some of the hemangiomas with very fast growth rate can be seen to change every day, and such cases need to be seen in hospital at any time for early control. For infant hemangiomas that are not growing very fast, you can observe them once a week by measuring the area of the hemangioma with a ruler or taking pictures of the area of the hemangioma with a camera at the same focal length and angle, so that you can observe and compare them. The principle of neonatal hemangioma treatment is early detection and early treatment, because the smaller the area of hemangioma, the less difficult and relatively less expensive it is to treat. The key to the treatment of neonatal hemangioma is to choose a good treatment method. 7.Multi-pronged treatment of hemangioma At present, there are many methods for treating hemangioma, including traditional cryotherapy, surgical excision, traditional laser treatment, copper needle treatment; and later local injection drug treatment, oral drug treatment, Chinese medicine treatment, VP laser, E light, radiation therapy, photodynamic laser therapy, minimally invasive interventional therapy, radiofrequency ablation therapy, and the more mature program of nucleus strontium 90 strontium, the Dual-wavelength vascular lesion cynergy workstation and other technologies. Seeing the wide variety of treatment methods, patients and parents can’t help but be dazzled, as if each method is quite justified, and don’t know what to do. Many parents hear that a certain treatment method works well for a child, so they also go for treatment, but the results are not very satisfactory. The reason for this is that the understanding of hemangioma is not clear enough. There are many different treatment methods for infant hemangioma, and the best method is to first diagnose the type of infant hemangioma, and different treatment methods are chosen for different types, ages and locations of hemangioma. The first thing to do is to distinguish whether the hemangioma is a hemangioma or a vascular malformation. The traditional classification method refers to all vascular lesions as hemangiomas, but the most scientific classification method is currently divided into hemangiomas and vascular malformations. For hemangioma, neonatal nevus and some strawberry hemangioma can fade on their own. Recent studies have found that more than half of all hemangiomas regress spontaneously around the age of 5. So, why treat them if they can go away on their own? There are two reasons: 1. It affects the aesthetics and causes children to be ridiculed by children of the same age at the early stage of their psychological development, resulting in the formation of a child’s isolated and inferior personality. 2, hemangioma tumor body is very easy to rub, a little carelessness will bleed, resulting in infection or ulcers, parents and children all day to be cautious and careful. This is also the main reason why many patients with hemangioma that can subside on their own choose to be treated.