Hemangioma natural history, complications and prognosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Nawal Muazam M.D.[2]

Overview

If left untreated, 20% of patients with hemangioma may progress to develop ulceration, hemorrhage, infection, and high output cardiac failure. Common complications of hemangioma include ischemia, necrosis, ulceration, and bleeding. Prognosis is generally good.

Natural history

Hemangiomas are vascular tumors that are rarely apparent at birth, grow rapidly during the first six months of life, involute with time and do not necessarily infiltrate but can sometimes be destructive.^[1]^[2]

Complications

Rapid growth of hemangiomas can lead to exhaustion of blood supply with resulting:^[1]

Ophthalmic complications

Common complications of infantile hemangioma include:^[3]

Prognosis

Hemangioma generally has a good prognosis and is cosidered as a benign condition.

References

↑ ^1.0 ^1.1 Richter, Gresham T.; Friedman, Adva B. (2012). “Hemangiomas and Vascular Malformations: Current Theory and Management”. International Journal of Pediatrics. 2012: 1–10. doi:10.1155/2012/645678. ISSN 1687-9740.
↑ Hassan, Basheir A.; Shreef, Khalid S. (2014). “Propranolol in Treatment of Huge and Complicated Infantile Hemangiomas in Egyptian Children”. Dermatology Research and Practice. 2014: 1–5. doi:10.1155/2014/541810. ISSN 1687-6105.
↑ Callahan, Alison B.; Yoon, Michael K. (2012). “Infantile hemangiomas: A review”. Saudi Journal of Ophthalmology. 26 (3): 283–291. doi:10.1016/j.sjopt.2012.05.004. ISSN 1319-4534.

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[RichterFriedman2012-1] 1.0 ^1.1 Richter, Gresham T.; Friedman, Adva B. (2012). “Hemangiomas and Vascular Malformations: Current Theory and Management”. International Journal of Pediatrics. 2012: 1–10. doi:10.1155/2012/645678. ISSN 1687-9740.

[HassanShreef2014-2] Hassan, Basheir A.; Shreef, Khalid S. (2014). “Propranolol in Treatment of Huge and Complicated Infantile Hemangiomas in Egyptian Children”. Dermatology Research and Practice. 2014: 1–5. doi:10.1155/2014/541810. ISSN 1687-6105.

[CallahanYoon2012-3] Callahan, Alison B.; Yoon, Michael K. (2012). “Infantile hemangiomas: A review”. Saudi Journal of Ophthalmology. 26 (3): 283–291. doi:10.1016/j.sjopt.2012.05.004. ISSN 1319-4534.

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