Is the treatment of vascular malformations difficult?

Patient's question:

I had a congenital venous vascular malformation discovered during my health check-up two years ago. Now, I often experience dizziness again. I want to ask if the vascular malformation is severe?

Doctor's answer:

Lymphatic malformations are also known as "lymphangiomas," which are composed of lymphatic vessel dilation. The majority of cases are discovered within 1 to 2 years after birth, commonly occurring in areas such as the head and neck, tongue, ears, and buccal mucosa, and can lead to macroglossia or macrotia. Bleomycin treatment for this condition yields good therapeutic effects, with complete regression and significant enlargement observed in up to 70% of cases. The efficacy of treating large cystic lesions is higher than that of diffuse microcystic lesions. Surgery is generally not considered for treatment unless the condition is refractory to other treatments, or if the neck or submandibular lesions severely interfere with breathing or defecation. In cases of acute illness, active cooperation with treatment is essential to prevent complications. During the treatment period, dietary precautions should be observed, such as avoiding smoking, drinking beer, and consuming spicy foods.

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