The Management of Visible Hemangiomas

Blackfield, H M; Torrey, F A; Morris, W J; Low‐Beer, B. V. A.

doi:10.1097/00006534-195712000-00025

Cited by 3 publications

(5 citation statements)

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“…Several authors compared radiotherapy of haemangiomas with untreated cases. It appeared that patients who received no therapy had their lesions involuted even better than the treated cases [24][25][26][27]. After these findings, radiotherapy for haemangiomas was ceased.…”

Section: Discussionmentioning

confidence: 99%

Squamous cell carcinoma as a long-term effect after skin vascular malformation radiotherapy

Mańkowski¹,

Osmola‐Mańkowska²,

Olszański³

et al. 2012

pdia

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A b s t r a c tIn the past, vascular anomalies were divided into vascular malformations and vascular tumors. Radiotherapy was one of the leading methods of treatment for vascular malformations and infantile haemangiomas in the past and considered as harmless in those days. Many years later it turned out that management was not necessary and dangerous, even responsible for possible skin cancers appeared within areas exposed to radiotherapy in the future. The case report shows the presence of squamous cell carcinoma within the irradiated vascular malformation of the frontotemporal area in early childhood. The lesion was surgically removed, the defect was covered by split thickness skin graft. The histopathological evaluation confirmed the carcinoma as well as its complete resection. Assessing the adult patients with vascular anomaly one should be aware of possible radiation therapy for that malformation in the past, then the evaluation of the skin must be careful and focused on possible neoplasmatic lesions. K Ke ey y w wo or rd ds s: : radiotherapy, vascular malformations, squamous cell carcinoma.

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Section: Discussionmentioning

confidence: 99%

Squamous cell carcinoma as a long-term effect after skin vascular malformation radiotherapy

Mańkowski¹,

Osmola‐Mańkowska²,

Olszański³

et al. 2012

pdia

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“…Bowers et al [36] and Blackfield et al [37,38,39,40] presented large series including untreated cases, yet with satisfactory curative results, even better occasionally than those treated with radiation. Blackfield et al [37] stated that "..... the cases treated earlier by other methods have involuted in exactly the same manner as those which had no treatment, casting doubt upon the effectiveness of some forms of treatment.…”

Section: Radiation Doses Appliedmentioning

confidence: 99%

“…Any radical method of treatment which may damage normal tissue or prevent tissue growth should be discarded. Instead the following general rules for the management of haemangiomas in babies should be adopted: a) observe carefully, b) let nature take its course, c) reassure parents, d) use plastic surgery when necessary after the maximum involution has occurred" [38].…”

Section: Radiation Doses Appliedmentioning

confidence: 99%

Radiotherapy of childhood haemangiomas: From active treatment to radiation risk estimates

Lindberg

2001

Radiation and Environmental Biophysics

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Childhood skin haemangiomas have been subjected to many different kinds of active treatment. From the beginning of the twentieth century and up to 1960-1970, radiotherapy maintained a dominating place in this treatment, although during the latter part of this period its role was more and more questioned. Starting in 1958, I felt that, based on the scientific literature and on my own observations at Malmö University Hospital, active therapy including radiotherapy should be abandoned since it had turned out to be unnecessary and, furthermore, could be harmful. This viewpoint resulted from an increased knowledge of the natural history of the disease. I then got the possibility to establish a follow-up study cohort at Sahlgrenska University Hospital in Göteborg with the aim of gaining information on early and late radiation effects following childhood radiotherapy. Later, the study cohort was enlarged by pooling with similar cohorts originating from Stockholm and Paris. A summary of the results of the epidemiological studies is also presented here. This historical overview reflects half a century of radiation therapy and radiation protection philosophy. It contains a basic message pointing to the value of proper and reliable collection of medical data and to the importance of local, regional and national registers, to preserve the information.

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“…Involution was allowed to take place spontaneously in only 3 of the 42 cases with thrombocytopenia. There are, however, a number of other examples of giant haemangiomata, with and without complications, which were treated conservatively with good results (Blackfield et al, 1957;Simpson, 1959;Burmeister, 1962). Cases 4 , 5 and 6 of the present series are further examples.…”

Section: Management Of the Haemaugiomamentioning

confidence: 99%

“…Microscopically it does not seem to differ fundamentally from the smaller strawberry naevi (capillary-cavernous haemangiomata) which most writers group with the involuting forms of haemangioma. These lesions have been studied extensively in large series which show that if they are left untreated, spontaneous involution almost invariably results (Lister, 1938;Ronchese, 1953;Bivings, 1954;Modlin, 1955;Blackfield, Torrey, Morris, and Low-Beer, 1957;Lampe and Latourette, 1959;Simpson, 1959;OBrien, 1964). But the giant haemangioma is much larger, with more frequent complications, and the literature has very few records of cases that have been simply observed, without some form of radical treatment-injection of sclerosing agents, irradiation, excision or amputation.…”

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confidence: 99%