My daughter is 2 month old. She had hemangioma other scalp (head). Many doctors advice that it will start to gone automatically after 1 year of her age. Is there any medicine or treatment without surgery? Is it curable within one or two month (5 month of her age). Please help me.

Dr. Nikhilesh BorkarOncologist14yrs exp

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Treatment for infantile hemangiomas should be individualized depending upon the size, location, presence of complications, potential for scarring, the age of the patient, the rate of growth or involution at the time of evaluation, the potential risks and benefits of treatment. Treatment is usually required for complicated hemangiomas that may interfere with a vital structure or function and for lesions at increased risk of ulceration, scarring, and disfigurement. Masterly active nonintervention for uncomplicated hemangiomas that are not disfiguring. Active nonintervention requires regular monitoring of the lesion. Some have tried topical beta blocker like timol for anxious parents, who respond but stopping the treatment may have some rebound effect. Oral propranolol is the first-line agent for the treatment of complicated hemangiomas with the potential to impair function or cause disfigurement eg, periorbital hemangiomas. Systemic steroids, vincristine, and interferon alfa are alternative agents for aggressive hemangiomas but are rarely needed since the advent of propranolol. Children with periorbital hemangiomas should be evaluated by an ophthalmologist. Oral propranolol in addition to dressings and appropriate painkillers for the treatment of ulcerated hemangiomas that may cause permanent disfigurement, interfere with daily life activities, or do not respond to dressings. If you want to discuss this further, feel free to contact me directly.  

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