Evaluation of hemangioma management in Erbil city
Keywords:Hemangioma, steroid, surgical excision
Background and objective: The term hemangioma refers to the common tumor of infancy that exhibits rapid postnatal growth and slow regression during childhood. Hemangioma has a perinatal incidence of 1%-3% and affecting 10% of infants by one year of age. The aim of this study was to evaluate treatment outcomes following various managements of hemangiomas.
Methods: One hundred four patients were included in this prospective study. Based on clinical management, each patient was assigned to different treatment groups: steroid, surgical, and combined therapy. Treatment outcomes were evaluated based on improvement in size and color, by a blinded panel of three raters including two doctors and one patient or patient’s parents. Finally, comparison of outcomes between groups was analyzed statistically. A p value ≤ 0.05 was considered statistically significant.
Results: The results revealed that there was reduction in size and improvement in color following intervention in each group. Comparison of treatment outcomes between treatment groups revealed statistically significant difference among the groups regarding improvement in color (P <0.01) and reduction in size of hemangioma (P <0.01), and surgical treatment was better (among 31 patients, 17 got moderate improvement and 11 excellent improvement) compared with steroid therapy (among 36 patients, 19 got moderate improvement, and 3 excellent improvement).
Conclusion: A favorable outcome can be achieved following appropriate intervention during all stages of development of hemangiomas.
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