What should be done if a child's hemangioma keeps growing larger?

Infantile hemangiomas may gradually grow larger. Management options include regular monitoring, medication, laser therapy, local injection treatment, and surgical intervention. The appropriate approach depends on the type, location, and size of the hemangioma. If the hemangioma grows rapidly, compresses surrounding tissues, or develops ulceration and bleeding, prompt medical evaluation is recommended.

1. Regular Monitoring: For small hemangiomas that cause no discomfort and grow slowly, regular hospital check-ups are advised to monitor changes in size and appearance. Some benign hemangiomas may spontaneously regress with age and do not require aggressive intervention.

2. Medication: Oral or topical medications are commonly used to inhibit the proliferation of vascular endothelial cells and slow down hemangioma growth. This approach is suitable for moderate-to-severe or rapidly growing hemangiomas and must be administered under medical supervision with close monitoring for drug-related side effects.

3. Laser Therapy: Uses specific wavelength lasers to precisely target hemangioma tissue, destroying abnormal blood vessels to reduce or eliminate the lesion. It is ideal for superficial and small-sized hemangiomas, offering minimal invasiveness and quick recovery.

4. Local Injection Therapy: Involves injecting sclerosing agents directly into the hemangioma to induce occlusion and shrinkage of abnormal vessels. This method is suitable for deep or localized hemangiomas and helps minimize damage to surrounding healthy tissues.

5. Surgical Treatment: Reserved for large hemangiomas that compress vital organs or show poor response to medication or laser therapy. Surgical removal completely excises the lesion, and proper postoperative care is essential to support wound healing.

In daily life, avoid friction or pressure on the hemangioma area. Dress children in loose, soft clothing. Keep the affected skin clean and dry, and promptly clean and disinfect any ulcerated areas. Avoid self-medication or unproven remedies; follow medical advice for proper care.