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Updated: Jun 12, 2026
05:30
Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
Current management of infantile hemangiomas
Sheilagh M Maguiness1, Ilona J Frieden
1University of California, San Francisco, USA. maguinesss@derm.ucsf.edu
Seminars in Cutaneous Medicine and Surgery
|June 29, 2010
Summary
Infantile hemangiomas (IHs) often resolve spontaneously. However, some IHs require treatment for complications like ulceration or disfigurement, necessitating careful consideration of therapeutic options.
Area of Science:
- Dermatology
- Pediatrics
- Medical Management
Background:
- Infantile hemangiomas (IHs) are common vascular tumors in infants.
- IHs exhibit significant heterogeneity in presentation and clinical course.
- While many IHs involute spontaneously, a subset requires intervention.
Purpose of the Study:
- To review current advancements in the management of infantile hemangiomas.
- To outline the variable indications for IH treatment.
- To discuss the available therapeutic modalities and decision-making considerations.
Main Methods:
- Review of recent literature on infantile hemangioma management.
- Analysis of treatment rationales, including life-threatening complications, ulceration, and cosmetic disfigurement.
- Overview of therapeutic options: topical, intralesional, systemic, laser, and surgical.
Main Results:
- Spontaneous involution is common, but treatment is necessary for a significant minority of IHs.
- Indications for treatment range from severe complications to life-altering disfigurement.
- A variety of treatment modalities are available, requiring tailored approaches.
Conclusions:
- Management decisions for IHs must be individualized, weighing risks and benefits of intervention versus observation.
- Prompt treatment is crucial for life- or function-threatening IH complications.
- Addressing the psychosocial impact of disfigurement is an increasingly recognized rationale for IH treatment.
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