Recommend treatment options for this case of Hemangioma/Vascular malformation?
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Recommend treatment options for this case of Hemangioma/Vascular malformation?
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A 28 yr old male came with this hemangioma/ vascular malformation on the lateral, medial aspect of his left ankle, since childhood, gradually and slowly increasing in size to this extent now. Non ten
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Recommend treatment options for this case of Hemangioma/Vascular malformation?
posted at 22/6/2012 7:47 PM BST
on bmj.com
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Posts: 14
First: 7/9/2011 Last: 24/6/2012 |
   A 28 yr old male came with this hemangioma/ vascular malformation on the lateral, medial aspect of his left ankle, since childhood, gradually and slowly increasing in size to this extent now. Non tender, with no evidence of vericose veins. Doppler scan shows a collection of malformed vessels under the skin, angiography failed to define any feeding vessels. Wat could be the best treatment option? The Aim being to stop the spread atleast!
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Re: Recommend treatment options for this case of Hemangioma/Vascular malformation?
posted at 22/6/2012 8:16 PM BST
on bmj.com
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Posts: 3031
First: 27/3/2012 Last: 11/5/2013 |
YAG laser is a very useful instrument & could be the best option in this case, for treatment of hemangioma, with higher rates of complete regression. |
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Re: Recommend treatment options for this case of Hemangioma/Vascular malformation?
posted at 23/6/2012 8:12 AM BST
on bmj.com
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Posts: 14
First: 7/9/2011 Last: 24/6/2012 |
Thanks Dr Ashutosh and Yoram! Have you seen any such cases being treated by YAG laser? and what were the results? And hows Vascular embolization possible when angiography failed to localize a feeding vessel?
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Re: Recommend treatment options for this case of Hemangioma/Vascular malformation?
posted at 24/6/2012 12:41 PM BST
on bmj.com
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Posts: 3031
First: 27/3/2012 Last: 11/5/2013 |
In Response to Recommend treatment options for this case of Hemangioma/Vascular malformation?: A 28 yr old male came with this hemangioma/ vascular malformation on the lateral, medial aspect of his left ankle, since childhood, gradually and slowly increasing in size to this extent now. Non tender, with no evidence of vericose veins. Doppler scan shows a collection of malformed vessels under the skin, angiography failed to define any feeding vessels. Wat could be the best treatment option? The Aim being to stop the spread atleast! Posted by Scalpel In carefully selected cases Nd:YAG laser therapy can be used to treat large hemangiomas whose size poses risks with surgical and other treatments. At 6-month follow-up after the second treatment, magnetic resonance imaging (MRI) demonstrated 75%-80% reduction in lesion size. There were no permanent adverse effects encountered with the treatment method. Giant hemangiomas generally require aggressive medical or surgical therapy to address complications. Because of the size of the lesions, there are risks inherent with conventional treatment options. In selected patients, Nd:YAG laser therapy is a noninvasive approach to treating large, subcutaneous hemangiomas. |
