Patient's question:
Professor Dong, hello, my child developed a 2.52 vascular tumor on the right clavicle at about 10 days after birth. The skin was flat at that time. At 42 days, a lump the size of a chicken egg appeared under the skin, with the vascular tumor protruding above the skin. Now that my child is three and a half months old, the vascular tumor is slowly growing, but not very rapidly.Doctor's answer:
Based on the provided information and images, it is determined to be a tumor-type hemangioma (infantile hemangioma, where the superficial "strawberry hemangioma" and the subcutaneous "cystic hemangioma" are essentially the same type of hemangioma). Tumor-type hemangiomas are the most common and easiest to treat among all types of hemangiomas. They have a typical course of development, progression, and regression. (Generally, within the first year of life, it is in the growth phase, with rapid growth in the initial months. As the child gets older, the tumor grows more slowly. After one year, growth gradually stops and transitions into the involution phase, where the tumor gradually disappears. Overall, this type of tumor-type hemangioma will eventually regress, but if left untreated and allowed to develop naturally, the outcome varies due to differences in severity and progression speed. During the one-year growth phase, many complications may arise: ulcers, infections, bleeding, etc. Most cases do not develop complications, but as the tumor enlarges and thickens, it becomes more difficult to regress, and residual cosmetic defects may remain after regression, such as scars, skin folds, and pigmentation. Therefore, we advocate early treatment during the growth phase of the hemangioma to stop its growth and transition it into the involution phase, achieving rapid elimination with a more aesthetic outcome. It is recommended not to use treatments such as surgery, cryotherapy, isotopes, hormones, or lasers (as they are not entirely effective and are prone to leaving scars).The key to treating this type of hemangioma: first, the treatment timing must be early; second, the treatment method must be appropriate.
The drugs used for injections in other hospitals are usually bleomycin or hormones. Bleomycin is a chemotherapeutic drug with significant side effects, and hormones also have considerable side effects. Oral medications in other hospitals include hormones and propranolol (a cardiovascular medication), which have certain toxic side effects. Our treatment for this type of hemangioma uses urea, which is a normal metabolic product of the human body, non-toxic, with minimal side effects, and the safest.
Local urea injection treatment is similar to a regular injection and causes minimal pain. It is estimated to take about one week, with one session per day. In summary, please rest assured that the child's condition is relatively easy to treat completely. If you are interested in treatment at our hospital, it is recommended to come as early as possible for consultation to achieve the earliest possible complete cure with the most aesthetic outcome.