A multidisciplinary pediatric team that specializes in treating hemangiomas should evaluate your child.
Decisions to treat these congenital hemangiomas must be made on an individual basis. The team considers such things as:
- Presence of other complication such as heart failure, ulceration and bleeding
- How well the child can function physically
- Preventing permanent disfigurement
In most cases, continued observation is the best course to follow, especially if the tumor is not hurting a child’s ability to function.
The oral or topical medicines typically used to treat infantile hemangiomas do 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, heart failure or functional compromise. At times, an interventional radiologist may need to block the blood supply to the lesion to improve heart failure. Surgery may be necessary even after regression of the hemangioma to reduce loose skin or scarring from prior ulcerations.