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Showing posts with label Hemangioma. Show all posts
Showing posts with label Hemangioma. Show all posts

Wednesday

Hemangioma in children can do spontaneous regression?

Constituted by a large number of hyperplastic vascular vascular tumors are congenital soft tissue tumors in children, the incidence is approximately 1%~2%, most hemangiomas in infants was found after birth. Development of Hemangioma in General can be divided into three phases:


1. proliferation: the continued proliferation of Hemangioma extended after birth, promptly to the surrounding skin and deep tissue violations, Hemangioma proliferation of 6-10 months.


2. the stabilization period: Hemangioma growth slow gradually, as the children\'s growth, Hemangioma of slow growth, but growth is still faster than growth in children, and degenerate alternating with proliferation of Hemangioma, General time is 3-6 months.


3. period of degradation: typically 1 Hemangioma growth later slows down, part of the capillary Hemangioma start, fibers increase in adipose tissue in vascular tumor, small number of children at the age of 5 can be completely degraded. In the process of degradation, capillary Hemangioma color change from purple or deep red to purple red, later fall gradually lightens the color turns gray, overall by the energetic uplift into flat to collapse, fibrosis of the skin. Dissipated vascular tumor lesions after leaving Telangiectasia and pigmentation of the skin, generally without leaving scars. Cavernous Hemangioma of degradation is very slow, there are very few children with spontaneous regression, and most of the cavernous Hemangioma not extinction. Most blends-Hemangioma, racemosum Hemangioma, orange-red spots, wine color spots, and other vascular tumor not extinction, only a portion of Strawberry hemangiomas and capillary Hemangioma in 5 years to extinction, more than 5-years-old rarely has dissipated.


Hemangioma of infants should be detailed records vascular tumor types, parts, surface color, size and the form occur, lesions involving the scope, whether high out of the skin, recorded by measuring size with floor plans, General review once a month. Such as Hemangioma growth too fast (sometimes capillary Hemangioma can grow every day 1~2mm) should be reviewed once a week, and with the last check the results for comparison if narrow Angioma lesion, color lighten, uplift height changes of the skin smooth, shows vascular tumor lesion in stable or receding period, can continue to observe waiting to be dissipated.


If vascular tumor lesions extend the surface color is dark purple or deep red, skin surface uplift increased indicating lesions in the proliferation of Hemangioma, active treatment measures should be taken. Vascular tumor lesion in the head and face, or hands and feet as sites and growing fast, pay special attention, should be treated in a timely manner, so as not to grow too big to lose the best treatment, causing facial deformity or physically disabled.

What baby long Hemangioma

Hemangioma is a common benign skin tumor, mostly found in infants and parents will be worried about, hemangiomas will continue to grow up? Is there what methods can be quickly cured?
  
Usually called the Hemangioma, is on the development of all the abnormal growth of blood vessels, or malformation of a collectively, in addition to skin, deep tissue, muscles and internal organs such as liver, may also occur. Long in Hemangioma of skin, if look closely in practice there are many ways, not only different shades of colors, long in the depth of the skin is also different; some vascular tumor continued to grow up, will gradually fade to a period of time, while others are little change since the birth.


For different vascular tumor, need not be given in different ways, to achieve the effect. Most of Hemangioma tumor shape to category, there are three of the more common:


1, colors, from bright red to dark red, from the skin surface to the growth process, similar to strawberry-shaped, which is characterized by a period of growth, then gradually subsides, referred to as Strawberry Hemangioma;


2, pale red, flat appearance, only grow in shallow layer of skin lesions, because like red wine spill contracted freckled, is called a wine stain, it is characterized by growth of not only grew up with the body, such as prorated to expand, will not subside;


3, growth in the subcutaneous tissue or deep tissue, by the proliferation of small veins winding into sinusoidal (or cavernous) Hemangioma, known as sinus Hemangioma, Hemangioma in this class do not grow or recede.


New classification method, as only the growth of Strawberry hemangiomas are, would be classified as a true vascular tumor, both due to lesions after no growth phenomenon, is classified as vascular malformations, vascular malformations are vascular malformation that occurs during embryonic development, born when it exists, does not increase, only with human growth and expansion.


-Strawberry Hemangioma ratio that occurred about 2% at birth, apparently first born do not always found. Women more than men. 60% longer in head and neck. Gradually started to grow mostly in a month, depending on the individual circumstances and some long fast, some long slow, roughly in half between the ages of 1 and a half when fully grown, then receding after full growth, regression of speed there are individual differences, dissipated around age 5 to 16 years old.


Because there was a time of such tumors will come along soon, parents in the case of anxiety often made wrong decisions, lead to sequelae, cooperation and physician and patient is a strawberry Hemangioma in the treatment of the most important thing. Most of Strawberry hemangiomas will disappear on their own, traces are not generally dissipated, a few will have the phenomenon of atrophy of the skin. In addition to long within the respiratory tract, mouth, and eyes around the need for early treatment of external auditory canal, just be patient without treatment. General for large tumors, local injection of steroids are the most effective way.
  
Wine Stain belonging to micro-vascular malformations, neonatal rate of about 3 per thousand. Most of them in the face, born pink, sometimes subtle color, over time, the color will gradually deepening to purple. Adult focus its thickness will increase gradually from the skin surface of a thin layer of uplift, and produce a summary section. There will be no retreat, is a surgical approach in treatment before, often leave many scars.


Sinus Hemangioma belonging to venous malformations, typically blue-violet, skin visible uplift, feels very soft means pressure or elevation of the Department is small, the patient is large, other symptoms without any discomfort or growth. Small lesion resection can cure, resection of the lesion is not easy to use local injection of Sclerosing agent, after its fiber contraction, achieve the effect.


Hemangioma is a benign tumor, in addition to long in the face and inelegant in appearance, are basically harmless to human body. If the Hemangioma too fast and too big, with necrosis or bleeding, infection, consult a professional doctor as soon as possible. Most of the treatment is to improve the appearance. Treatment must be made by the specialist diagnosis, appropriate treatment, have a good effect; some parents due to lack of medical knowledge, thrusting, mistakenly believed the key medical and folk remedies, the facial Hemangioma of children becoming seriously scar, is regrettable.

Method for treatment of Hemangioma in children

Comprehensive treatment of Hemangioma in children should be taken, without urgent treatment.


Most of the early such as Nevus flammeus, Hemangioma capillary and cavernous Hemangioma may dynamic observation of. Is every 3-6 months to hospital for follow-up by a full-time doctor, observing the changes in the size, color, thickness, to decide whether to wait for dissipated on its own. Generally applicable of Hemangioma in children below the age of 2.


Variation generally applies to laser therapy of Nevus flammeus.


Application of 90Sr and P32 injection, applies to capillary Hemangioma Simplex and smaller, thinner cavernous Hemangioma.


Freezing, particularly cotton freezing treatment of Hemangioma, less than 2 years old children with capillary Hemangioma Simplex effect best.


Sclerosing agent injection, suitable for small Hemangioma of sponge-like. Often waste Rijkman Groenink selection of 5% sodium morrhuate, pass a, debao pine, pingyangmycin, inflammatory and triamcinolone acetonide acetate injection.


For fast-growing, they could face is disfigured, or large hemangiomas can also electricity consumption by chemotherapy, pingyangmycin injection method and surgical resection for early selection. Such as the removal of too much, in part with tissue Expander or with copper wire ligation operation method of blocking traffic.


Huge cavernous Hemangioma thrombocytopenia, to oral prednisone treatment efficiency.


In short, had a vascular tumor in children without acute and do not have to worry about, most healing, or conservative therapy cures. Does not bleed more than or malignancy.