Related Experiment Video
Updated: Jul 5, 2026

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
Management of cutaneous hemangiomas in pediatric patients
Maria Letizia Musumeci1, Karina Schlecht, Rosario Perrotta
1Department of Dermatology, University of Catania, Italy.
Insights
Cutaneous hemangiomas (CHs), common childhood vascular tumors, often resolve spontaneously. Treatment is reserved for CHs causing functional issues, significant size, or complications like ulceration, with various therapeutic options available.
Area of Science:
- Pediatric Dermatology
- Vascular Biology
- Oncology
Background:
- Cutaneous hemangiomas (CHs) are prevalent benign vascular tumors in infants.
- CHs exhibit a predictable growth and involution pattern, typically resolving by age 10.
- Intervention is necessary for CHs with functional risks, large size, or complications.
Purpose of the Study:
- To provide a comprehensive overview of treatment strategies for cutaneous hemangiomas.
- To discuss first-line, second-line, and third-line therapeutic options.
- To review emerging and alternative therapies for CHs, including ulcerated forms.
Main Methods:
- Literature review of established and experimental treatments for CHs.
- Categorization of therapies based on treatment lines and specific indications.
- Inclusion of procedural and prospective agents.
Main Results:
- Corticosteroids are the primary treatment for problematic CHs.
- Second-line options include interferon, laser, and surgery.
- Third-line and other therapies encompass cytotoxins, embolization, compression, cryosurgery, radiotherapy, and novel agents like OXi4503 and cidofovir.
Conclusions:
- A tiered approach to CH management is essential.
- Treatment selection depends on CH characteristics and complications.
- Ongoing research explores new agents for refractory or complex cases.
Abstract:
Cutaneous hemangiomas (CHs) are common benign vascular tumors of childhood. Clinically, they are characterized by a typical evolution profile, consisting of a rapid proliferation during the first year of life and slow involution that usually is completed by 5 to 10 years of age. In most cases, no treatment is necessary. However, when CHs are located in areas at risk for functional complications; are of considerable size; or repeatedly undergo bleeding, ulceration, or superinfection, a prompt and adequate treatment approach is required. First-line approaches include topical, intralesional, and systemic corticosteroids. Second-line options include interferon alfa-2a and -2b, laser therapy, and surgical therapy. Third-line approaches include cytotoxins, embolization, and angiogenesis inhibitors. Other therapies and procedural approaches including intermittent pneumatic and continuous compression; cryosurgery; radiotherapy; implantation of copper needles; sclerotherapy; electrocautery; electroacupuncture; imiquimod cream 5%; and prospective agents, such as OXi4503 (diphosphate prodrug of combretastatin A1) and cidofovir, are discussed. Treatment options for ulcerated CHs also are described.
Related Concept Videos
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Skin Cancer
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Pharmacokinetics in Pediatric Patients: Drug Excretion
Pharmacokinetics in Pediatric Patients: Drug Distribution
