Hemangiomas affect 10 per cent of younger than one-year-old children and are the most frequent tumors at the first age people.
They appear in form of red dots, scratches or tiny bruises, typically within the first 2 weeks or 2 months after birth, though sometimes they may be inborn.
The next 12 month is the period when hemangiomas grow. During this time, they may invade into underlying organs and irreversibly damage their functions (vision, breathing, digestion, excretion). Hemangiomas, single or plural, may become ulcerate, infected, bleeding, and to affect internals.
After the first year, hemangiomas stop growing and threatening the child health and life. Some of them require no treatment and partially dissolve to 5 or 8 years.
It is very important to differentiate in proper time a hemangioma from a vascular malformation (so called “portwine stain”), pyogenic granuloma, stellate angioma, pigmentless melanoma, and angiosarcoma. In most cases, a clinical inspection is sufficient for setting true diagnosis by an experienced specialist.
An international expert group “Hemangiomas in child's age” has defined a basic set of methods used for treatment of hemangiomas. These are laser therapy, cryosurgery, sclerosing, hormonal therapy, and surgical excision.
For superficial skin hemangiomas treatment a special vascular pulsed dye laser of the 585–600 nm wavelength is used. With no pain, no skin trauma or any hurt to the child, the laser beam stimulates resolving of the hemangioma. After a series of procedures, the skin complexion becomes smooth and clear.
Other lasers (CO2, copper vapor laser or argon laser) traumatize the skin, leaving scars and hyperpigmentation on its surface. Such lasers are not recommended for treating a tender skin, as children’s.
Cryosurgery (liquid nitrogen freezing) is used for removal small-sized hemangiomas salient above the skin surface. After the procedure, a blister is formed; tissues die off and then can be torn away. The wound repair (with a scar formation) takes some 3 to 4 weeks.
Sclerosing is advisable when hemangiomas are situated under skin. A special substance introduced into the tumor puts an end to its growth. After the injection, an oedema may arise, and further thinning of the skin or soft tissues is possible.
In case of hemangiomas intensive growth through a high-risk area (beside an eye, mouth, fontanel, or urethra) and when vitally important functions are endangered, a course of hormonal treatment is prescribed. After the tumor growth ceased, the cosmetic defect is easily eliminated by laser treatment.
Surgical excision is necessary when major hemangiomas are situated under skin and combined with deformities of deep vessels.
X-ray therapy, Bookie rays, superficial chemical cauterization, electrocoagulation, or surgical lasers are not appropriate means for hemangiomas treatment, as they provoke scar formation.
All patients having hemangiomas are subject to regular medical inspections: once over 2–4 weeks during the active growth of the hemangioma; once over 2–6 months during stabilization period; and once over 6–12 months during spontaneous regression.
Do not wait – act!
Remember that the health and beauty of your child depend really on true diagnosis and right time for the treatment.
Hemangiomas, “portwine stains” and other diseases and inborn vascular malformations require a well-timed treatment. D-r Bogomolets Clinic has in its use the special vascular laser ScleroPlus produced in USA (the only and sole in Ukraine). The laser radiation affects the diseased vessels only, leaving the skin clear and smooth.