How to treat mixed hemangioma

The treatment of mixed hemangiomas requires a comprehensive approach based on lesion depth, size, and patient age. Common methods include combined laser therapy, local injection plus surgical excision, oral medication plus interventional therapy, cryotherapy plus sclerosant injection, and radioactive isotope patch therapy. Standardized treatment can effectively control the lesion. If the hemangioma rapidly enlarges or develops ulceration and bleeding, prompt medical attention is recommended.

1. Combined Laser Therapy: Utilizes lasers of different wavelengths—superficial lasers treat skin surface lesions while deeper-penetrating lasers target subcutaneous vascular tissues to destroy abnormal blood vessels. This method is suitable for mixed hemangiomas with localized superficial and deep components and helps reduce the number of treatment sessions.

2. Local Injection Plus Surgical Excision: Sclerosing agents are first injected to shrink deep lesions and clarify their borders, followed by surgical removal of residual tissue. This approach is appropriate for mixed hemangiomas with large deep components or those encapsulated, helping to reduce surgical difficulty and bleeding risk.

3. Oral Medication Plus Interventional Therapy: Systemic medication is used to suppress overall lesion growth, while interventional embolization targets deep feeding vessels to block blood supply and induce lesion necrosis. This is suitable for extensive mixed hemangiomas in infants involving vital organs, helping preserve organ function.

4. Cryotherapy Plus Sclerosant Injection: Cryotherapy induces necrosis and shedding of superficial lesions, while sclerosant injection is administered into deeper areas to occlude blood vessels. This method is ideal for mixed hemangiomas primarily affecting the surface with only shallow deep involvement, offering simple operation and faster recovery.

5. Radioactive Isotope Patch Therapy: Radiation emitted from isotopes inhibits vascular endothelial cell proliferation, and when combined with topical medications, enhances therapeutic effect. It is suitable for mixed hemangiomas with widespread superficial lesions and mild deep involvement, minimizing scar formation.

In daily care, avoid trauma or impact to the hemangioma site, maintain local skin dryness and cleanliness, dress the patient in loose clothing to minimize friction, and follow medical advice for regular monitoring of lesion changes. Record changes in size, color, and other characteristics to facilitate timely adjustment of the treatment plan.