TY - JOUR
T1 - Complex Hemangiomas of Infants and Children
T2 - Individualized Management in 22 Cases
AU - Weber, Thomas R.
AU - Connors, Robert H.
AU - Tracy, Thomas F.
AU - Bailey, Patrick V.
PY - 1990/8
Y1 - 1990/8
N2 - Large hemangiomas in infants and children are rare but can be life-threatening if they involve vital structures or produce thrombocytopenia or congestive heart failure. During a 6-year period, 22 infants and children, aged newborn to 7 years, were treated for complex, symptomatic hemangiomas. The lesions were located in the liver in seven, face or parotid gland in five, neck in four, extremity in two, and mediastinum, chest wall—spinal cord, trachea, and retroperitoneum in one patient each. The diagnosis was suggested by physical examination in all patients and was confirmed by radiologic examination in most patients. The treatment was individualized, usually progressed from less to more invasive, and included observation, prednisone therapy, arterial ligation, and resection. All children were eventually cured, with minimal morbidity. Children with life-threatening hemangiomas can be successfully managed with the use of a variety of techniques.
AB - Large hemangiomas in infants and children are rare but can be life-threatening if they involve vital structures or produce thrombocytopenia or congestive heart failure. During a 6-year period, 22 infants and children, aged newborn to 7 years, were treated for complex, symptomatic hemangiomas. The lesions were located in the liver in seven, face or parotid gland in five, neck in four, extremity in two, and mediastinum, chest wall—spinal cord, trachea, and retroperitoneum in one patient each. The diagnosis was suggested by physical examination in all patients and was confirmed by radiologic examination in most patients. The treatment was individualized, usually progressed from less to more invasive, and included observation, prednisone therapy, arterial ligation, and resection. All children were eventually cured, with minimal morbidity. Children with life-threatening hemangiomas can be successfully managed with the use of a variety of techniques.
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U2 - 10.1001/archsurg.1990.01410200081012
DO - 10.1001/archsurg.1990.01410200081012
M3 - Article
C2 - 2198856
AN - SCOPUS:0025170973
SN - 0004-0010
VL - 125
SP - 1017
EP - 1021
JO - Archives of Surgery
JF - Archives of Surgery
IS - 8
ER -