Justifiability of expectation of involution in hemangioma program treatment in children

Abstract

Hemangiomas are tumorlike vessel changes that occur in children starting from an early age and can appear as minor cosmetic defects that sometimes spontaneously decrease, or can cause serious functional disorders or even be a threat to life.
Objective. To improve treatment outcomes and efficacy in children with hemangіomas of external location by applying the method of classification algorithm.
Material and methods. To study the problem in the Podolsk region of Ukraine, a retrospective clinical study of children with external HA during the last 15 years was conducted. The study included: an analysis of medical records and outpatient cards of children who were treated in-patiently or out-patiently between 2002 to 2017.
Results. According to generalization of treatment outcomes, the selection criteria of hemangioma management, depending upon the stage of development, character of growth, spreading, were elaborated. The programme, which on the one hand makes it possible to use individual approach to treatment, and on the other hand to standardize this treatment approach to achieve maximal cosmetic and functional results, was proposed.
Conclusions. Choice of treatment strategy in children with external hemangiomas must be conducted in each case, except unreasonable expectation of a possible tumor regression. The options ofexternal hemangioma management in children should be based on tumor classification algorithm due to its morphological features.