Hemangioma treatment in children in israel
Hemangioma is a neoplasm originating from the endothelial cells (inner surface) of the blood vessels, which accounts for half of all benign tumors in children. In most cases, hemangioma is diagnosed immediately after birth or develops in the first months of children’s lives, two-thirds of whom are girls. At the beginning of the disease, there is an active neoplasm growth, which slows down and stops over time. In rare cases, spontaneous involution of hemangioma is possible.
The exact reasons of the hemangioma development are currently unknown. The ongoing research allows us to present some probable risk factors of the tumor development:
- genetic predisposition;
- race (people of the Caucasian race get sick more often);
- prematurity, low birth weight;
- multiple pregnancy;
- hormonal disorders in a pregnant woman;
- viral diseases in the first half of pregnancy;
- adverse effects of the environmental situation.
Specialists of the leading Israeli clinics including the Hadassah MC, insist on the need to treat hemangioma at the earliest age. This is due to its tendency of rapid growth and lesions of surrounding tissues. A growing neoplasm is capable of affecting not only the skin, but also internal organs and causing various complications, severe cosmetic defects and disruption of the general body condition.
Types and symptoms of hemangioma in children
A simple hemangioma develops from capillaries is distinguished by a red or bluish-purple color, has clear boundaries and a superficial location. This tumor is characterized by a horizontal growth and affects the skin and the superficial layer of subcutaneous adipose tissue. Simple hemangioma has a flat or slightly protruding surface and turns pale with pressure.
Cavernous hemangioma is a lumpy soft-elastic node consisting of several chambers filled with blood. This hemangioma is located under an outwardly healthy or cyanotic skin. Cavernous hemangioma decreases and turns pale with pressure and increases and tenses when a child coughs, cries and strains (due to rush of blood into the caverns).
Combined hemangioma is a tumor that combines a simple and cavernous hemangioma. The symptomatology of such a neoplasm depends on which hemangioma type is dominant.
A mixed hemangioma contains cells of vascular, connective, lymphoid and nervous tissues. Symptoms and manifestations of the neoplasm depend on which tissues are dominant in the tumor.
The course of hemangioma may be accompanied by the development of complications such as:
- ulceration of the skin surface is a consequence of the intensive tumor growth and / or constant trauma. It is often accompanied by profuse bleeding. A scar may appear after ulcer healing;
- dysfunction of nearby organs as a result of tumor growth or compression.
In more than half of hemangioma cases, the tumor is located on the face, neck, scalp and upper half of a child’s body. This can lead to a serious cosmetic defect and dysfunction of nearby organs. Hemangioma located close to the eyeball threatens with visual impairment up to complete blindness. When the tumor grows in the neck area, it may cause breathing problems.
To diagnose and clarify the nature of hemangioma, a team of specialists from the Hadassah MC including pediatricians, oncologists, surgeons, ophthalmologists, etc., uses the following techniques:
- thorough examination and anamnesis collection;
- laboratory blood tests (coagulogram, platelet count, etc.);
- ultrasound and Doppler sonography of the tumor;
- if necessary, consultations and examinations with other specialists.
Hemangioma treatment in children
Most hemangiomas by the age of 9 years undergo spontaneous regression and do not need treatment. However, in each case, the need of the minimally invasive or surgical intervention is individually decided after a thorough examination.
Surgical intervention is used in cases where a hemangioma has a deep location and its radical removal is possible while maintaining a satisfactory aesthetic and functional result. Surgical treatment is also used in cases where the use of other methods is impractical. 90% of all surgical interventions end in a child’s recovery and are rarely accompanied by intraoperative and postoperative complications.
Hard-to-reach hemangioma which cannot be treated with other methods is exposed to radiotherapy. Most often these are tumors of the orbit and retrobulbar space (behind the eye). Simple hemangioma that occupies large skin area is subjected to radiotherapy as well. The dosage of ultra-high-frequency radiation is individually selected. Radiotherapy is a fairly long-term method of therapy.
Diathermoelectrocoagulation is used to treat punctate hemangioma located in skin areas that are difficult to access with other treatment methods. Electrocoagulation is not conducted on neoplasms of considerable depth and / or occupying a large area.
Sclerotherapy is carried out in the treatment of cavernous and combined hemangioma of small size and complex location. In most cases, this therapy type is used to treat tumors located on the face and the nasal tip. The method consists in injecting 70% ethyl alcohol into the hemangioma vessels. Combined therapy is carried out for the combined hemangioma treatment. At the first stage of treatment, cryogenic or ultra-high frequency cryogenic therapy is used to reverse the development of the tumor superficial part. After that, with the help of sclerotherapy, the hemangioma cavernous part is treated. Sclerotherapy is painful and takes a long time. The advantage of this treatment type is its simplicity and affordability.
In the treatment of superficial hemangioma that occupies large skin area, hormonal therapy is widely used. This is a conservative treatment aimed at stopping tumor growth. The dosage and duration is individually determined for each patient by a doctor. Hormonal therapy commonly precedes the use of other methods of the neoplasm destruction, which allows you to achieve good cosmetic results.
Cryodestruction of hemangioma is widely used due to its painlessness, safety and absence of bleeding risk. For the procedure, the specialists of the Hadassah clinic use the most modern specialized equipment and freezing systems. Cryodestruction is used to treat small simple hemangioma, regardless of its location and patient’s age..
The advantages of treating hemangioma in children in Israel
The Hadassah MC experts have extensive experience in the successful hemangioma treatment of any type and complexity. Doctors` high qualification and use of the latest technologies and developments make it possible to achieve complete tumors removal in most cases. Timely treatment started at an early age guarantees a complete recovery and an excellent cosmetic effect.
Fill out the feedback form, and the employee of the international department will provide you with detailed information about the hemangioma diagnostics and treatment in the Israeli Hadassah clinic.