What to do if your baby has a hemangioma

What is a hemangioma? The hemangioma we often talk about generally includes true hemangioma and vascular malformation. True hemangioma is formed because of abnormal proliferation of vascular endothelial cells, while vascular malformation is caused by excessive growth of blood vessels and lymphatic vessels during embryonic development, and it is a common benign tumor in children. It can occur in various parts of the body, such as oral and maxillofacial areas, chest and back, extremities and internal organs, but oral and maxillofacial areas are the most common. They are detected after birth or shortly after birth, and the local skin appears red, light red or cyanotic, some above the surface of the skin and some not. Treatment methods for hemangioma: There are many treatment methods for hemangioma, commonly used are: surgical excision, cryotherapy, laser treatment, oral or local injection drug treatment, how should we choose? First of all, we should bring our baby to the general surgery clinic of a children’s specialized hospital to clarify the diagnosis and type of hemangioma. We should choose the appropriate treatment method according to the type, size and location of the hemangioma. Never seek medical treatment blindly to avoid causing unnecessary harm to your child. Here I introduce several common treatment methods: 1. Wait for natural regression: More than half of the hemangiomas can regress on their own, but premature and excessive treatment may bring unnecessary sequelae to children, such as scars and dysfunction. Many hemangiomas start as small red papules like mosquito bites, then gradually increase in size and grow quietly after 5-6 months, and begin to subside slowly around the age of 1 year, with 50%-60% completely subside around the age of 5. However, for the kind of hemangioma that grows rapidly and has no tendency to stop, especially on the face. Timely intervention is needed. 2.Surgical treatment: For hemangioma or vascular malformation with no stationary tendency in trunk and limbs, hemangioma with large residual lesion even after conservative treatment, hemangioma affecting function and endangering life, hemangioma with repeated bleeding or ulcer, all malignant hemangioma (hemangioendothelioma, hemangiosarcoma, etc.), surgical removal is the necessary choice. 3.Laser and cryotherapy: It is suitable for the treatment of small and superficial hemangioma in early stage. 4.Injection therapy: It is to inject drugs directly into the hemangioma body to make it slowly shrink and degenerate. The most commonly used drugs are hormone and pinyin, which are injected once in 1-2 weeks, and 4 times as a course of treatment. Injection therapy is applicable to the more limited hemangioma in the head and face, perineum and toe joints. 5.Oral drug therapy: drug therapy is suitable for patients with extensive, multiple, invasive hemangiomas that affect the function of important organs, as well as patients with life-threatening hemangiomas such as thrombocytopenia and congestive heart failure, and patients with difficulties in surgical resection. The commonly used drugs are hormones and propranolol. However, all drugs have certain side effects. In short, the treatment of hemangioma must be based on the specific situation of the child and the use of different methods to achieve the best results.