Management of Hemangiomas

Infantile hemangioma (IH) is the most common benign soft tissue tumor of infancy with its pathogenesis yet to be elucidated. IHs are defined as vascular tumors of infancy and the diagnosis of IH is largely based on clinical findings, most commonly the characteristic strawberry appearance. IHs follow a stereotyped life cycle of rapid growth, a plateau, and eventual involution, and most do not require treatment. If complicated, first-line medical treatment of IH is oral propranolol, currently the most commonly used and efficacious drug. Surgery remains an option but is reserved for IHs primarily not responsive to medical treatment.