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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

Written by Dr. Ringpfeil

Hemangiomas

Hemangiomas are benign tumors that result from an overgrowth of blood vessels. They are categorized by the level of skin in which they reside. The types are superficial, mixed, and deep. Only about 1% to 3% of individuals have hemangiomas at birth. Most develop rapidly, beginning at 1 to 2 months of age, and continue growing until 6 to 9 months. After the rapid growth phase, the hemangiomas will spontaneously regress. Approximately 50% of hemangiomas will resolve by the time the child is 5 years old and 90% will resolve by age 9.

Diagnosis

The diagnosis is made clinically by the characteristic appearance of these vascular lesions. For example, superficial hemangiomas, also called strawberry hemangiomas, are bright red, whereas deep hemangiomas have a bluish hue.

Management

The majority of hemangiomas do not require treatment. The lesions can be measured and photographed. Monitoring for erosion is recommended. Hemangiomas located in areas that interfere with vision, feeding, or breathing may require treatment.

Treatment

Most hemangiomas will not require treatment because they are benign and will resolve without treatment. However, when treatment is required due to the critical location of the lesion options include surgery which is not often favored due to the resulting cosmetic defect, injections of corticosteroid, oral steroids, laser treatment, oral propranolol, or interferon.

Coping

Hemangiomas are painless lesions so specific coping strategies are not necessary for the young patient affected. Parents, however, often need reassurance by being educated about the benign and self-resolving nature of the lesions.

Parents need to understand that there will be a period of rapid growth and that it can take years for the hemangioma to fully resolve. Parents also need to understand that unnecessary aggressive treatment can put their child at risk for side effects and result in permanent cosmetic defects.

How can we help you?

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Last updated: 3/15/2023 9:53 PM

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What WE DID WELL

(Answers:674)

appreciated the thorough explanation from the doctor and the instant research on a product I wanted to know more about

#12023-02-25

The entire staff was very attentive.

#22022-11-08

A good service

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The knowledge, helpfulness, and friendliness of every person in this office has made me decide to have my daughter and me be seen here instead of by a doctor in the area in which we live (more than half an hour away). Thank you.

#42022-06-03

I felt the doctor really took the time to listen to me, as well as explain all of the important medical information.

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Everybody was friendly and helpfull.

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The doctor and assistant were wonderful!!! So friendly and warm. I am so used to doctors being rushed AND condescending. This was a great change!!

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I was very impressed by everyone I had contact with on the staff - they were so personable as well as professional which goes a very long way with me! The office itself is also beautiful, I love the artwork and the entire atmosphere!

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What can we do better?

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Everything was outstanding

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watercooler in waiting room.

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Magazines in the examining room to read while I waited for the doctor (I get bored easily).

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If you continue the same level of care that I received today, I will be thrilled.

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You guys did great. This was a great experience for me

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Have some toys or children books in the waiting room

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Customer Rating : 4.6

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