[Diagnosis and management of 49 cases of hemangiomas in infants and children].
OBJECTIVE
To observe the management results of hemangioma in infants and children.


METHODS
Forty-nine cases of hemangioma in infants and children managed from 1986 to 2004 were reviewed. During the management period, the incidence and first visit age and sex were recorded. The location and volume of the lesions were photographed and followed up at an interval of 3 to 12 months until the complete involution of the tumor. The treatment modalities used included local injection of prednisone in 16 cases, surgery in 6 cases, and the remaining 33 cases were observed without treatment.


RESULTS
Thirty-three cases receiving no treatment involuted naturally. The complete involution age was found from 9 months to 10 years with average age of 5.4 years. The cosmetic results after involution were good.


CONCLUSIONS
Most hemangiomas do not need treatment and can involute naturally. However, in cases with severe complications such as expansion, destruction and obstructive or congestive heart failure, treatment is indicated.
Zeng
Xiang-hui
XH
Department of Oral and Maxillofacial Surgery, Peking University School of Stomatology, Beijing 100081, China. lucyhe119@yahoo.com.cn
Zhao
Fu-yun
FY
Zhang
Jian-guo
JG
Zhang
Zhen-kang
ZK
Yu
Guang-yan
GY
He
Dong-mei
DM
D002648:Child; D002675:Child, Preschool; D005153:Facial Neoplasms / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006391:Hemangioma / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D006801:Humans; D007223:Infant; D008048:Lip Neoplasms / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D008297:Male; D009365:Neoplasm Regression, Spontaneous / Q000503:physiopathology*; D010307:Parotid Neoplasms / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D012189:Retrospective Studies