A multidisciplinary pediatric team that specializes in treating hemangiomas should evaluate your child.
The RICH form of congenital hemangiomas do not usually require treatment since they shrink quickly on their own. Decisions to treat these or NICH must be made on an individual basis. The team considers such things as:
- How well the child can function physically
- Preventing permanent disfigurement
- Presence of other complication such as heart failure, ulceration and bleeding
All children with significant congenital hemangiomas should have a thorough exam with follow-up by a doctor. Medications used to treat infantile hemangiomas are usually not effective for congenital hemangiomas.
In most cases, just watching is the best course to follow, especially if the tumor is not hurting a child’s ability to function.
The medications typically used to treat infantile hemangiomas may not work for congenital hemangiomas.
Surgery may be needed for complicated congenital hemangiomas, including those in the liver and those that are causing problems with bleeding or heart failure. At times, an interventional radiologist can block the blood supply to the lesion to improve heart failure.