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The Spontaneous Involution Of Cutaneous Vascular Tumors

American Journal of Surgery 86: Oct 1953; 376-386

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Abstract

The author concludes that spontaneous disappearance of the cutaneous hemangiomas in children is a natural step in the development of tumors of this kind; cutaneous hemangiomas pass three stages in their development: growth, stationary, and regression; spontaneous regression can be observed in children as young as one year, although it usually reaches its maximum by 3-4 years old and is rarely found after 7 years old; vascular formations on the hairy part of the head have the most pronounced tendency toward spontaneous involution; telangiectatic hemangiomas regress spontaneously more often than any other type; the child’s sex or time of first appearance are not significant factors for the spontaneous disappearance. (Noetic Sciences translation)

Case Details

Clinical Characteristics

Vanishing without therapy

Remission Characteristics

Spontaneous involution

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Non-Clinical Treatment

No therapy in selected cases

Additional Notes

The author does not advocate expectant therapy for all cases; however, being convinced that a large majority do involute spontaneously, the author is in favor of no therapy in selected cases in which the lesions are located in covered body areas or may easily be removed surgically at a later date in the event spontaneous involution does not materialize.