Capillary Hemangioma Treatment And Management

Write a short note on the treatment of hemangioma.

Answer. Hemangioma is a benign tumor containing hyperplastic endothelium with cellular proliferation with increased mast cells.

Treatment Of Capillary Hemangioma

They are treated by wait and watch policy commonly allows for spontaneous regression.
Diode laser, surgical excision, and reconstruction may need to be ligated after wide exposure before achieving complete extirpation.
Sclerotherapy/Cryotherapy/CO₂ snow therapy causes unpleasant scarring.
Preoperative embolization facilitates surgical excision and reduces operative blood loss.
When once embolization is done surgery should be done as early as possible otherwise recurrence occurs and much more worry formation of enlarged collaterals can occur.
Rapidly growing hemangioma may need systemic/oral and intra-lesional steroid therapy.
Anti-angiogenic interferon 2a may be useful.
Life-threatening platelet trapping may be controlled by cyclophosphamide chemotherapy.
Hemangioma with drug-resistant CCF can be treated with radiotherapy.

Sclerosant therapy: It is the initial first-line therapy.
It causes aseptic thrombosis and fibrosis of the cavernous hemangioma with less vascularity and smaller size.
It is directly injected into the lesion. Sodium tetradecyl Sulphate hypertonic saline is used.
Often multiple injections are needed to achieve the complete required effect.
Later excision of the lesion is done.
Ligation of the feeding artery and often at a later stage excision is done once the hemangioma shrinks.
Therapeutic embolization.
lf small and located in an accessible area, excision is the initial therapy.

LASER ablation: Diode-pulsed LASER is becoming popular because of good control of bleeding.