Document Detail


An institutional review of paediatric haemangiomas: prevalence, imaging features, and outcomes.
MedLine Citation:
PMID:  20889996     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review the demographic data, imaging features, and outcomes of paediatric haemangiomas.
DESIGN: Retrospective study.
SETTING: University teaching hospital, Hong Kong.
PATIENTS: A total of 58 children diagnosed with haemangioma between 1998 and 2007.
MAIN OUTCOME MEASURES: Demographic data, imaging features, type of treatment received, and outcomes.
RESULTS: In all, 19 (33%) of these patients were males and 39 (67%) were females. Most of the lesions (64%) were in the head and neck region. Three (5%) of the patients were complicated by the Kasabach-Merritt syndrome; 21 underwent no imaging, and 37 had ultrasound and/or magnetic resonance imaging. In the majority (85%), ultrasound of the lesions revealed mixed echogenicity and/or phleboliths with variable colour Doppler patterns. On magnetic resonance imaging, most (87%) of the lesions were T1 iso- to hypo-intense and T2 hyperintense with slight heterogeneous signalling and revealed presence of central flow voids (vascular channels) or low-signal areas (fibrous tissue or calcification). In all, 85% appeared homogeneous while 15% showed heterogeneous enhancement. Of 58 patients, 39 (67%) patients received conservative treatment; the lesions resolved spontaneously in 34 (87%) patients, enlarged in 2 (5%), and remained static in 3 (8%). Interventions were directed at the lesions in 19 patients. These entailed surgical excision (n=7), argon laser therapy (n=3), and medical treatment (n=9). Of the latter patients, treatment included: systemic steroids (n=5), interferon (n=1), steroids and interferon (n=1), vincristine (n=1), and sclerotherapy (n=1). Partial or complete resolution of the lesions ensued in 15 (79%) of the patients, while their size remained static in four (21%).
CONCLUSION: Though ultrasound and magnetic resonance imaging features varied, the diagnosis of most haemangiomas could be confidently made by imaging. About 33% of haemangiomas underwent surgical/medical interventions, for which imaging was useful to monitor post-treatment progress.
Authors:
Darshana D Rasalkar; Winnie C W Chu; Frankie W T Cheng; Vincent Lee; K H Lee; C K Li
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine     Volume:  16     ISSN:  1024-2708     ISO Abbreviation:  Hong Kong Med J     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-04     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512509     Medline TA:  Hong Kong Med J     Country:  China    
Other Details:
Languages:  eng     Pagination:  334-40     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Radiology and Organ Imaging, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Female
Follow-Up Studies
Hemangioma / diagnosis,  pathology,  therapy*
Hong Kong
Hospitals, University
Humans
Infant
Magnetic Resonance Imaging / methods*
Male
Retrospective Studies
Treatment Outcome
Ultrasonography, Doppler, Color / methods*

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