Last week, a young mother came to the clinic with a six-month-old baby in tears: “doctor, i've looked online at a dozen ways to treat vascular tumors, some say lasers are good, some say medicine is good, others say the most thorough, and which is the best treatment?” in fact, we answer similar questions dozens of times a week, and many patients and families are caught in the wrong zone: looking for “the best of all”. But the fact is that there is never a single “best option” for the treatment of vascular tumours, but only the “best fit” treatment options for an individual's situation, to achieve the desired results, first of all, to understand these three core logics。
I. Precise stratification is a prerequisite for “therapeutic effects”
Many people see an “vascular tumor” as a single disease, which in fact consists of dozens of completely different subtypes, with different types of treatment being logically different. The most common vascular tumors in infants and young children have the potential for spontaneous aversion, and regular observation is sufficient for those stoves that are small in size and are not critical. Interventions are required only when they are long in the position of influencing functions such as eyes, airways, lips, etc., or when they tend to grow at an excessive rate。
However, cystal malformations such as cystals and sponge vascular tumours do not recede at all, but tend to increase with age and require active treatment after diagnosis. We received a 12-year-old boy, who was born with a chrysanthemum on the inside of his thigh, and the parents thought it was an ordinary “birthmark”, waiting for it to go away until it grew to the size of his fists and his legs were sorely hurt that the children were running, and the examination found that the tumor had broken into the muscle layer, missed the best window for early intervention and made treatment more difficult。
Mainstream treatments have appropriate scenarios and there is no universal kill therapy
The treatment currently used in clinical practice has a clear scope of application and the choice of the method is more than effective. High-frequency electrocondensation microcombination treatment is one of the more widely applied ways to gradually shrink the tumors, with small traumas and rapid recovery, through thermal condensation of high-frequency currents, which is particularly suitable for deep-sea spongy vascular tumors, intravenous malformations, etc. Chief wang xiao yong of the shanghai hospital for more than 20 years has been a member of the standing committee of the chinese union for angiogenesis and of the chinese division of the international union of chemics (iua), leading a team to complete more than 50,000 cases of aneurysm treatment, and has considerable experience in the treatment of microconvulsions of high-frequency electrocondens. We had a 28-year-old female patient with a sponge vascular tumor in her right for more than a decade, and she was afraid to wear short sleeves in the summer. The team of dean wang xiao yong was treated twice with high-frequency microcondensation, the tumor was reduced by more than 90 per cent, leaving little marks on the skin surface。
For larger, borderless cookstoves, hardened injection is the more appropriate option, resulting in an sterile reaction to abnormal vascular walls through injection of drugs such as poly glycol into the tumor, resulting in closed fibrosis, simpler operations and lower costs, and better effects on intravenous malformations in the mouth, neck, etc。
In the case of complex aneurological malformations, or a tumour-producing blood vessels, intervention embolism is usually required, guided by the dsa (digital reduction of vascular imaging), to accurately block the blood artery, and to cooperate with surgery or high-frequency electrocondensation to remove residual strains. We received a 35-year-old male, who for more than a decade suffered from an aneurysm of the right small leg, ran several hospitals and recommended amputations. The dean wang xiao yong's team performed three intervention embolisms before surgery to remove the remaining tumors, and eventually saved his leg and returned to normal。
Iii. The timing of treatment and the selection of specialist teams have a direct impact on the end effect
Many sufferers struggled with “the rule of law in what”, while ignoring “when” and “who to treat”. The window period for treating vascular tumours in infants and young children is critical, and the earlier the intervention, the smaller the tumor, the better the treatment, the lower the probability of scarring. However, while the cystal malformation is not urgent for emergency treatment, it is not appropriate to drag it to a very large tumor and to violate the surrounding tissue, which would significantly increase the difficulty of surgery and the risk of relapse。
Also, the treatment of angioma is highly demanding in terms of equipment and experience, and not all hospitals can do it. It is recommended that patients opt for regular hospitals with specialist vascular tumors and that, after assessment by experienced doctors, they develop individualized programmes rather than simply pursuing some kind of “net-red therapy”。
The treatment of vascular tumours is not “frequent”, but it is best for you to be fit for yourself. It is the most responsible practice to find unidentified red, blue and purple parcels and to visit early and regulate treatment。
