Patient: My daughter was born 46 days ago and has a 2 cm size bright red mass on the inner wall of her left upper mouth and gums. 2008.9.21 she was examined for capillary hemangioma at the Department of Stomatology, Chongqing Pediatric Hospital. I would like to ask the doctor about the best time to treat my daughter’s capillary hemangioma and whether this tumor can be cured. Will it affect her speech and appearance in the future? Is there any medicine that can treat it? Department of Maxillofacial Surgery, Oral Hospital: Capillary hemangioma is the old name, but now it is called true hemangioma. I don’t know if the diagnosis you received is pathological or clinical. If it is pathological examination, then the diagnosis is more reliable. For hemangioma in infants and children, the current view, is that it can be treated early. One is hormone therapy, which is taken orally and is effective for most children, but the course of treatment is long (2 to 3 months per course) and may temporarily affect the development of the child. Then there is Pingyangmycin injection therapy. It is not limited by age and the number of injections varies from 4 to 6 times depending on the extent of the lesion. Of course, if the hemangioma is not large in extent and grows slowly, it can be observed. If it is really a hemangioma, the child will grow to a certain age and it will fade to different degrees, and some children will disappear completely. You should be reminded that hemangiomas may grow faster when the child is 1 month and 4 to 6 months old. In my personal opinion, it makes more sense to treat children until they are 1 year old, but if they are past 1 year old, there is little point in treating them, and it is best to observe them at that time and wait for natural regression. These are suggestions for true hemangioma. If it is not a true hemangioma, but a venous malformation (a type of hemangioma in the old name), then it is time to treat it as early as possible. I give you these suggestions, and I hope they will be helpful to you. Patient: The pediatrician is the clinical diagnosis, and what worries us now is that the doctor is not sure if the child has a hemangioma or a vascular malformation. Your reply says that hemangioma may grow faster when the child is 1 month old and 4-6 months old, but now that the child is almost 2 months old, would it be better for the child if I wait until the child is 3 months old to get treatment? Oral Hospital Maxillofacial Surgery: To give you more advice, it is better to provide photos of the lesion so that you can generally make a preliminary diagnosis. Whether to treat or not depends mainly on whether the lesion is still growing. If the lesion grows faster, it is recommended that early treatment is better. This will prevent the lesion from expanding and affecting the appearance. In fact, whether it is a hemangioma or a venous malformation, Pingyangmycin injection therapy is the appropriate treatment method. If the lesion is not growing significantly, the treatment plan can be determined after a clear diagnosis.