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Hemangiomas and Other Vascular Lesions, Pediatric

Katherine B. Püttgen, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Vascular tumors: proliferative neoplasms of the vasculature include:

    • Infantile hemangioma (IH)

    • Congenital hemangiomas: noninvoluting congenital hemangioma (NICH) and rapidly involuting...

DIAGNOSIS

HISTORY

  • Onset of lesions and timing of changes

  • IHs are often inapparent at birth or present with nascent telangiectatic patches followed by a rapid proliferative growth phase.

    • Proliferative pha...

TREATMENT

GENERAL MEASURES

  • IHs

    • Most patients will not need treatment, as lesions will spontaneously involute without complications. Anticipatory guidance for caregivers about natural history is key.

    • Cons...

ONGOING CARE

PATIENT EDUCATION

PROGNOSIS

  • IHs

    • All IHs undergo spontaneous involutio...

ADDITIONAL READING

  • Adams DM, Trenor CCIII, Hammill AM, et al. Efficacy and safety of sirolimus in the treatment of complicated vascular anomalies. Pediatrics.  2016;137(2):e20153257. [View Abstra...

CODES

ICD9

  • 228.00 Hemangioma of unspecified site

  • 747.60 Anomaly of the peripheral vascular system, unspecified site

  • 747.81 Anomalies of cerebrovascular system

  • 686.1 Pyogenic granuloma of skin and subcutan...

FAQ

  • Q: When will the IH go away?

  • A: Growth in nearly all IH stops by 12 months of age. Regression occurs over a period of years, with approximately 90% of involution occurring by age 4 years.

  • Q: Is the ...

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