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What happens to most hemangiomas without treatment?

Updated: 11/1/2022
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GaleEncyofSurgery

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13y ago

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Almost all hemangiomas will undergo a long, slow regression, known as involution, without treatment. The end result of involution is potentially worse than the scarring that would occur with surgery.

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Q: What happens to most hemangiomas without treatment?
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Is there a treatment for hemangioma growths?

Most often hemangiomas are left untreated. In cases where they are treated they are treated with lasers. The laser will not damage the skin over the herangioma. Usuall most henangiomas go away on there own typically by age 5.


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A hemangioma is a benign tumor that can involve the body of the vertebra. This tumor is often found in the lower thoracic or upper lumbar spine, usually involving only a single vertebra. Interestingly, not all hemangiomas produce symptoms such as pain. Hemangiomas typically occur during mid-life, affecting females more often than males. The most common symptom associated with a hemangioma is pain. This is typically the result of a large hemangioma involving the entire vertebral body. Hemangiomas may be discovered as part of an evaluation for back pain. They have a very characteristic appearance on regular x-rays, referred to as " honeycombing." There may also be a varying degree of collapse and loss of vertebral height with extensive involvement. When the collapse is severe, impingement on the spinal cord or neural elements will produce severe pain and loss of function in the legs, bowel or bladder. There are a number of treatment options for vertebral hemangioma, ranging from observation to radiation to surgical resection. Treatment decisions are based upon the severity of symptoms or neurologic compromise. The management of a vertebral hemangioma must take into account the generous blood supply of the lesion, and requires careful planning by the surgeon involved in your care before surgical treatment is recommended.: A hemangioma is an abnormal build up of blood vessels in the skin or internal organs. 1. A vascular tumor, present at birth or developing during life, in which proliferation of blood vessels leads to a mass that resembles a neoplasm; hemangiomas can occur anywhere in the body but are most frequently noticed in the skin and subcutaneous tissues; most hemangiomas present at birth undergo spontaneouos regression. dr.sohaib al adawi


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Vertebral body hemangiomas are common and have an incidence of 10% in the population. Most often, these are incidentally detected and are asymptomatic. More common in adults, rare in children but when present in the later age group, vertebral hemangiomas are usually symptomatic. These lesions are thought to be venous malformations of the vertebral body. Based on research completed through April 2008, the causes are unknown at this time, but genetic predispositions have been considered. When one is diagnosed with vertebral hemangiomas, one should be advised to have physician follow-up as they may increase in size over time. Benign spinal hemangiomas may have a more gradual increase in size, whereas cancerous tumors may increase rapidly. Spinal tumors may be benign (non-cancerous) or malignant (cancerous), but to rule out malignancy (cancer), a biopsy is required. Benign primary tumors begin at the location of the spine, whereas secondary (malignant) tumors may begin elsewhere in the body and spread to the spine. Hemangiomas will appear on spinal MRI's. Spinal hemangiomas may also be referred to as benign spinal tumors. One should visit a neurosurgeon as a first step in treatment if symptoms exist such as back pain or radiculopathies (nerve pain or numbness/tingling radiating to extremities).


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