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Hemangioma

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Hemangioma

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  • Dr. Michael Hiroshi Johnson
  • Updated 2024-08-22
  • Published 2024-03-06

Hemangiomas : Pathology,Pathogenesis,Types of Hemangiomas ,Clinical features,Diagnosis and Treatment

What is a hemangioma?

A hemangioma is a benign (non-cancerous) tumor made up of blood vessels. It typically appears as a red or purplish mark on the skin, often at birth or shortly thereafter. Hemangiomas are most common in infants and usually occur on the face, scalp, chest, or back.

What causes hemangiomas?

The exact cause of hemangiomas is not fully understood, but they are believed to result from a combination of genetic and environmental factors. There’s no clear link to any specific maternal actions during pregnancy. They are more common in girls, premature babies, and low-birth-weight infants.

How are hemangiomas treated?

Many hemangiomas don’t require treatment and will shrink and fade away over time. When treatment is necessary, options include beta-blocker medications like propranolol, laser therapy, corticosteroids, or surgery. The choice depends on the hemangioma’s size, location, and potential complications.

Are hemangiomas dangerous?

Most hemangiomas are not dangerous and are mainly a cosmetic concern. However, some can lead to complications like bleeding, ulceration, or, in rare cases, interference with vision, breathing, or other bodily functions depending on their location.

Do hemangiomas leave scars?

Hemangiomas can leave scars or residual skin changes after they regress, especially if they were large or ulcerated. The extent of scarring varies and can sometimes be treated or minimized through medical or surgical procedures.

How long does a hemangioma take to go away?

The growth phase of a hemangioma typically lasts up to a year, after which it enters a slow regression phase. Most hemangiomas take several years to fade significantly. By the time a child is 10 years old, most of the hemangioma is usually gone, although some skin changes might remain.

Can hemangiomas be prevented?

Currently, there is no known way to prevent hemangiomas. They are not caused by anything a parent did during pregnancy. Early detection and monitoring are key to managing potential complications and deciding if and when treatment is necessary.

Hemangiomas can occur anywhere on the body, but they are most commonly found on the face, neck, scalp, or internal organs. While most hemangiomas are harmless and tend to disappear on their own over time, some may cause complications or require treatment, especially if they affect vital organs or obstruct certain functions.

Hemangiomas are more common in infants and young children, and their cause is still not fully understood. Some research suggests that they may be caused by abnormal development of blood vessels during fetal development or an overgrowth of blood vessel cells. Factors such as genetics, hormones, and certain medications may also play a role in their development.

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The treatment of hemangiomas depends on various factors including the size, location, and potential complications associated with the tumor. In many cases, observation and monitoring are sufficient as most hemangiomas self-resolve without intervention. However, treatment options may include medications, laser therapy, embolization to shrink the blood vessels, or surgical removal in certain cases.

Disease Causes
Hemangioma
  • Genetic factors
  • Hormonal changes
  • Abnormal blood vessel development
  • Unknown causes

Methods for Diagnosing:

1. Physical Examination: A healthcare professional will conduct a thorough physical examination to assess the appearance, location, and characteristics of the hemangioma. They may also inquire about the child’s medical history.

2. Medical Imaging: If the hemangioma is internal or affects internal organs, medical imaging tests may be carried out. These can include ultrasound, magnetic resonance imaging (MRI), or computed tomography (CT) scan. Medical imaging helps visualize the size, location, and extent of the hemangioma within the body.

3. Biopsy: In certain cases, a biopsy may be necessary to confirm the diagnosis. During a biopsy, a small tissue sample is taken from the hemangioma and sent for laboratory analysis. This allows the healthcare team to examine the cells under a microscope, determining if they are consistent with hemangioma cells.

4. Multidisciplinary Approach: In more complex or severe cases of hemangioma, a multidisciplinary team of specialists may be involved in the diagnosis and treatment process. These specialists can include dermatologists, pediatricians, radiologists, and pathologists, among others. Their expertise can help ensure an accurate diagnosis and appropriate treatment plan.

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