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Hemangiomas: evaluation and treatment.

S M Dinehart1, J Kincannon, R Geronemus

  • 1Departments of Dermatology and Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. sdinehart@pol.net

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|May 22, 2001
PubMed
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Infantile hemangiomas are common vascular tumors. While many resolve naturally, complex cases may require interventions like surgery, laser, or medication.

Area of Science:

  • Dermatology
  • Pediatrics
  • Vascular Biology

Background:

  • Infantile hemangiomas are prevalent skin tumors in infants.
  • Recent advancements have reshaped their classification, assessment, and management.
  • Distinguishing hemangiomas from similar vascular malformations is crucial.

Purpose of the Study:

  • To provide a comprehensive review of infantile hemangiomas.
  • To cover updated nomenclature, epidemiology, diagnostic methods, and treatment strategies.

Main Methods:

  • A systematic literature search was performed using MEDLINE and Cochrane Library.
  • Keywords included "hemangioma" and "infancy."
  • The authors' clinical expertise informed the review's formulation.

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Main Results:

  • Significant progress has been made in classifying and treating infantile hemangiomas.
  • Hemangiomas are distinct proliferative tumors, unlike port-wine stains or lymphangiomas.
  • Early and accurate diagnosis is key to appropriate management.

Conclusions:

  • For most uncomplicated infantile hemangiomas, natural resolution (involution) is a primary treatment approach.
  • Surgical excision, laser therapy, and pharmacologic treatments are reserved for complicated cases.
  • A nuanced understanding of hemangioma subtypes guides therapeutic decisions.