Management of haemangiomas and vascular malformation


These are benign tumours that can develop soon after birth on any part of the body. The tumour proliferates and grows in size infiltrating the surrounding skin. The extent of the growth cannot be predicted. The tumour becomes canalized with vascular channels filling up with blood. It may grow very large presenting with both aesthetic and functional problems. By 18 months the growth ceases as the lesion enters the phase of regression. Ninety percent of haemangiomas involute completely by the age of 9 years leaving behind in its wake secondary skin changes. Lesions in the head and neck area are best treated early. Effective management include medical management with Beta blockers or intralesionalbleomycin injections. Surgery for very small lesions maybe first line treatment.