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This clinical scenario addresses a common concern among parents regarding hemangiomas in infants. A mother inquired whether surgical removal of her son’s left cheek mass was advisable. The clinical question posed is whether surgical intervention is warranted for hemangiomas in infants under one year old. Hemangiomas are benign neoplasms of endothelial cells, often inconspicuous at birth, with significant proliferation, typically resolving by 10 months and 50% disappearing by age five. This article aims to guide parents and clinicians in decision-making regarding surgical options.
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Clinical Scenario While interviewing the patient’s mother, she asked us whether it was advisable to have the mass on her son’s left cheek removed with surgery or not?
Clinical Question • In infants less than 1 year old with hemangioma, is surgical intervention warranted for the disappearance of the lesion?
Notes: • Hemangiomas are benign neoplasms of endothelial cells • At birth lesions are often small and inconspicuous, with 60% absent at birth • Lesions may appear as blanching macule, erythematousmacule or area of localized telangiectasia
Shortly after, rapid proliferation occurs and may occur for months • Typically, invoultion of the hemangioma occurs at around 10 months and 50% of lesions resolve in 5 years
