Question
A newborn was found to have a 2.5*2 hemangioma on the right clavicle about ten days after birth. By the 42nd day, a lump about the size of an egg appeared below the hemangioma, with the surface showing prominent hemangioma vessels. The child is now three months and a half old, and the hemangioma is still slowly growing.
Answer
Based on the provided information and imaging, the described symptoms belong to the hemangioma category (especially infantile hemangiomas, including superficial “strawberry” hemangiomas and subcutaneous “cavernous” hemangiomas), which are among the most common and treatable types of hemangiomas. The development of hemangiomas typically follows a specific process: growth phase within the first year of life, with rapid growth in the initial few months, followed by a slower growth rate as the child ages. After one year, it enters the regression phase, with the lump gradually disappearing. However, if not treated, the final outcome may vary depending on the severity and progression of the condition, potentially leading to complications such as ulcers, infections, or bleeding during the growth phase. Although severe consequences are rare in most cases, the enlargement and thickening of the lump may make the regression process more difficult later on, leaving scars, skin wrinkles, or hyperpigmentation as aesthetic issues. Therefore, we recommend early treatment during the growth phase to promote its rapid cessation of growth and initiation of regression, which can help eliminate the lump more quickly and reduce aesthetic effects. We do not recommend using treatment methods such as surgery, cryotherapy, isotopes, hormones, or radiation, as these may not completely eliminate the lump and are more likely to leave scars.