Hemangioma is a generally benign tumor consisting of vascular structures, but it tends to grow and spread under the influence of blood pressure and vessel-building factors in the vessel. Therefore, although it does not show malignant features, it is dangerous because it has a tendency to bleeding and in some patients it is close to vital organs such as the liver and needs to be treated. Hemangiosarcoma is the name given to malignant tumors of blood vessel origin.
Since hemangioma is a congenital disease, they are seen from infancy. While some hemangiomas may regress and disappear spontaneously in the first years, some may grow and progress rapidly. Although tumors are frequently seen in skin vessels, they can also be found in internal organs such as the liver. For this reason, hemangiomas are tumors that should be diagnosed, followed closely and treated with appropriate methods if necessary.
How is hemangioma diagnosed?
Visual and aesthetic problems are usually the first complaint in hemangiomas. In any part of the skin of the patients, red-purple colored, puffy, ball-shaped vascular structures are seen. These tumors, which are different from the normal vascular structure, can bleed with very minor trauma or spontaneously. These tumors, which are initially small in size, may tend to grow over time and with growth.
Doppler ultrasonography is the first examination to be performed when symptoms are observed. From which vessel the hemangioma originates, its spread in the subcutaneous and muscle tissue, and whether there is hemangioma in the organs should be reviewed. Therefore, MR or CT angiography methods are used. Conventional angiography is an imaging method used to reveal and treat the anatomical features of hemangiomas diagnosed by Doppler ultrasonography.
Will the hemangioma grow?
Hemangiomas can grow after birth, as the baby grows. This growth occurs with the effect of a substance known as the “vessel-building” factor and secreted from the body. However, although there is no rule such as “every hemangioma grows”, some hemangiomas may remain the same size throughout life, while some hemangiomas may shrink and disappear over time.
Hemangioma treatment varies according to the size and location of the hemangioma, the vessels from which it originates, and whether hemangiomas are present in the internal organs. However, in hemangiomas found only in the skin and muscle tissues, the patient’s complaints are also important in the choice of treatment.
Superficial hemangiomas that do not show growth and do not cause complaints can be controlled with annual follow-ups. However, hemangiomas that cause complaints, progress in the muscle and are located in the internal organs should be treated after diagnosis.