Dear anggota milis balita anda,

Di bawah ini saya sertakan artikel tentang Hemangioma yang pernah diposting 
oleh Mbak Riefna Azwita yang menjawab pertanyaan saya tentang kasus 
Hemangioma. Mudah-mudahan bisa menjadi referensi tambahan yang bermanfaat.

Salam,
Hanni S. Armansyah

---------Original Message--------------
From: Riefna Azwita <[EMAIL PROTECTED]>
Reply-To: [EMAIL PROTECTED]
To: "'[EMAIL PROTECTED]'" <[EMAIL PROTECTED]>
Subject: RE: [balita-anda] Hemangioma
Date: Mon, 19 Jul 1999 08:13:06 +0700

Saya lampirkan artikel tentang Hemangioma, semoga bermanfaat.

Alternative names:
strawberry nevus; cavernous hemangioma

Definition:
Hemangiomas are abnormally dense collections of dilated small blood 
vessels(capillaries) that may occur in the skin or internal organs.

Causes, incidence, and risk factors:
The classically recognized hemangioma is a visible red skin lesion that 
maybe superficial in the skin (in the top layers, called a capillary 
hemangioma),deeper in the skin (cavernous hemangioma), or a mixture of both.

Hemangiomas are usually present at birth although they may appear within a 
few months of birth often beginning at a site that has appeared slightly 
dusky or colored differently than the surrounding tissue.

Hemangiomas, both deep and superficial, undergo a rapid growth phase in 
which their volume and size increase rapidly. This phase is followed by a 
rest phase, in which the hemangioma changes very little, and an involutional 
phase where the hemangioma undergoes spontaneous regression. During the 
involutional phase, hemangiomas may disappear completely. Large cavernous 
hemangiomas distort the skin around them and despite full involution, will 
ultimately leave visible changes in the skin. The more superficial capillary 
hemangioma may involute completely, leaving no evidence of its past 
presence.

Hemangiomas may be present anywhere on the body. However, they are
most disturbing to parents when they are on the infant's face or head.
Hemangiomas of the eyelid may interfere with the development of normal
vision and must be treated in the first few months of life. On rare 
occasions, the size and location of hemangiomas may interfere with 
breathing, feeding, or other vital functions. These lesions also require 
early treatment.

Large cavernous hemangiomas may develop secondary infections and
ulcerate. Bleeding is not uncommon and may be significant following injury 
to the hemangioma.

Prevention:
There is no known way to preventi hemangiomas.

Symptoms:
red to reddish purple raised vascular lesion on the skin
possibly massive, markedly elevated vascular tumor

Signs and tests:
Hemangiomas are diagnosed by physical examination. In the case of deep or 
mixed lesions a CT scan or MRI scan may be performed to ensure that deeper 
structures are not involved. On occasion, hemangioma may be associated with 
other rare syndromes. Additional studies may be done to determine if any of 
these syndromes are present.

Treatment:
Superficial or "strawberry hemangiomas" often are not treated as treatment 
may leave a cosmetic defect, letting the lesion to undergo spontaneous 
involution produces normal-appearing skin. In some cases, a laser may be 
used to eradicate the small vessels. Cavernous hemangiomas that involve the 
eyelid and obstruct vision are generally treated with injections of steroids 
or laser treatments that rapidly reduce the size of the lesions, allowing 
the development of normal vision.

Large cavernous hemangiomas or mixed hemangiomas, when appropriate, are 
treated with oral steroids and injections of steroids directly into the 
hemangioma. Recently, lasers have been used to reduce the bulk of the 
hemangiomas. Lasers emitting yellow light can selectively damage the vessels 
in the hemangioma without damaging the overlying skin. YAG lasers spare the 
skin by treating the hemangioma from within using a glass fiber delivery 
system. Some physicians are using a combination of steroid injection and 
laser therapy together.

Expectations (prognosis):
Small superficial hemangiomas should involute completely. Large cavernous 
hemangiomas should be evaluated by a physician and treated appropriately.

Complications:
bleeding, perhaps to the extent of hemorrhage visual abnormalities 
(amblyopia, strabismus)psychosocial problems


Calling your health care provider:
All birthmarks, including hemangiomas, should be evaluated by the health 
care provider during a routine examination.

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