The Involuting Hemangioma
1965; American Medical Association; Volume: 194; Issue: 2 Linguagem: Inglês
10.1001/jama.1965.03090150079020
ISSN1538-3598
Autores Tópico(s)Vascular Malformations Diagnosis and Treatment
ResumoThe involuting hemangioma, or strawberry birthmark, is small or absent at the time of birth. During the first six or eight months of life it increases rapidly in size, and then gradually regresses over the next one to five years. In the uncomplicated lesion the best eventual result is achieved with no treatment at all. Observation alone is not possible, however, when the tumor is so situated that it interferes with the visual axis, or disturbs such vital functions as breathing or sucking. Active treatment in the form of ionizing radiation, cryotherapy, or surgical removal is sometimes necessary to preserve these functions. The tumor should not be confused with a cavernous hemangioma, which is present at birth and grows slowly as the child grows. Composed of mature endothelial cells, the cavernous hemangioma is radiation resistant, unaffected by cryotherapy, and shows no tendency toward spontaneous involution. Difficulty arises when the parents
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