Hemangioma treatment in India

What is Hemangioma?

Hemangiomas, or infantile hemangiomas, are noncancerous growths of blood vessels. A hemangioma can occur anywhere on the body, but most commonly appears on the face, scalp, chest or back. Treatment for a baby's hemangioma (infantile hemangioma) usually isn't needed as it fades over time. A child who has this condition during infancy usually has little visible trace of the growth by age 10.

Types of Hemangiomas

Hemangiomas may occur anywhere on the body. Some children may have more than one. There are three main types:

• Superficial (on the surface of the skin): These look flat at first, and then become bright red with a raised, uneven surface.
• Deep (under the skin):  These appear as a bluish-purple swelling with a smooth surface.
• Mixed:  These hemangiomas have both superficial and deep components.

The growths may also occur with other internal hemangiomas. These affect internal organs such as:

• The liver
• Other parts of the gastrointestinal system
• The brain
• Organs of the respiratory system
• Hemangiomas that affect organs usually don’t cause problems.

Symptoms

Some children may have more than one, particularly if they're part of a multiple birth. During your child's first year, the red mark grows rapidly into a spongy, rubbery-looking bump that sticks out from the skin. The hemangioma then enters a rest phase and, eventually, it begins to slowly disappear. Many hemangiomas disappear by age 5, and most are gone by age 10. The skin may be slightly discolored or raised after the hemangioma goes away.

Causes/Risk Factors

Hemangiomas occur more often in babies who are female, white and born prematurely.

Diagnosis

The diagnosis is usually by visual inspection on physical examination by a healthcare provider. Your doctor can make a visual diagnosis during a physical examination.

Hemangiomas on the organs may only be spotted during an imaging test, such as:

• an ultrasound
• MRI
• CT scan

In some circumstances, they’re usually detected by chance.

Treatment

Treating hemangiomas usually isn't necessary because they go away on their own with time. But if a hemangioma affects vision or causes other problems, treatments include medications or laser surgery:

• Beta blocker drugs. In small, superficial hemangiomas, a gel containing the drug timolol may be applied to the affected skin. A severe infantile hemangioma may disappear if treated with an oral solution of propranolol. Treatment usually needs to be continued until about 1 year of age. Side effects can include high blood sugar, low blood pressure and wheezing.
• Corticosteroid medications. For children who don't respond to beta blocker treatments or can't use them, corticosteroids may be an option. They can be injected into the nodule or applied to the skin. Side effects can include poor growth and thinning of the skin.
• Laser surgery. Sometimes laser surgery can remove a small, thin hemangioma or treat sores on a hemangioma.

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Frequently asked questions

Q.Is a hemangioma a tumor?

Hemangioma is the most common type of benign tumor, it can be arising anywhere in the body. hemangiomas are made up of blood vessels that form incorrectly and multiply more than from normal . These blood vessels receive signals to grow rapidly early in a baby's life. Most hemangioma will appear at birth or within the first few weeks after birth.

Q.Can hemangiomas be removed?

Hemangiomas can be removed with surgery or by using laser treatment. Both procedures are safe and effective. In many cases laser treatment is preferable because it does not typically leave a scar.

Q.Do hemangiomas go away in adults?

In many cases, they will go away without treatment. Other hemangiomas need to be treated. These should be treated by a craniofacial doctor.

Q.What happens if a hemangioma bursts?

Bleeding occurs when the skin overlying the hemangioma breaks down. In most cases, such bleeding is not life-threatening and will stop with application of firm pressure over the area for 5 to 15 minutes. However, when bleeding cannot be controlled with hand pressure, the child should be seen by a physician immediately.

Q.What is the best treatment for hemangioma?

Beta blocker drugs.

In small, superficial hemangiomas, a gel containing the drug timolol may be applied to the affected skin. A severe infantile hemangioma may disappear if treated with an oral solution of propranolol. Treatment usually needs to be continued until about 1 year of age.