Regression phase as therapeutic goal of cryosurgical treatment of growing capillary infantile hemangiomas. Treatment decision, treatment strategy and results of an open clinical study

dc.contributor.authorBassukas, I. D.en
dc.contributor.authorAbuzahra, F.en
dc.contributor.authorHundeiker, M.en
dc.date.accessioned2015-11-24T18:54:39Z
dc.date.available2015-11-24T18:54:39Z
dc.identifier.issn0017-8470-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18714
dc.rightsDefault Licence-
dc.subjectCryosurgeryen
dc.subjectFacial Neoplasms/diagnosis/surgeryen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectHemangioma, Capillary/diagnosis/*surgeryen
dc.subjectHumansen
dc.subjectInfanten
dc.subjectInfant, Newbornen
dc.subjectMaleen
dc.subjectSkin Neoplasms/diagnosis/*surgeryen
dc.subjectTreatment Outcomeen
dc.titleRegression phase as therapeutic goal of cryosurgical treatment of growing capillary infantile hemangiomas. Treatment decision, treatment strategy and results of an open clinical studyen
heal.abstractBACKGROUND AND OBJECTIVE: Cryosurgery is a widely accepted modality for the treatment of capillary hemangiomas of the newborn. However, no studies clearly supporting its effectivity are available. PATIENTS AND METHODS: Out of 116 consecutive outpatients with 147 hemangiomas, 105 growing tumors in 91 patients were treated by cryosurgery. 13 further growing tumors were not treated because of lack of parental consent. Hemangiomas without growth within the last 2 weeks and with clinical signs of regression were not treated. After a follow-up of 1 year, the outcome of the treatment was classified as either regression (> 10% size reduction), no change (size alteration < 10%) or progression (> 10% size growth). The effectiveness of the treatment was assessed as clinical improvement of the hemangioma on an arbitrary scale per treatment session. RESULTS: Cryosurgery of growing hemangiomas efficiently initiated the regression phase (p < 0.05), in the most cases (68%) after a single treatment. Cryotherapy was most effective when employed in older children (p < 0.05) and for small hemangiomas (p < 0.05). Probably, this reflects associated spontaneous regression. CONCLUSIONS: Thus cryosurgery is a verifiably effective treatment modality for infantile capillary hemangiomas, shortening significantly their growth phase.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/10810657-
heal.identifier.secondaryhttp://www.springerlink.com/content/bg15eul8g9hvf4ug/fulltext.pdf-
heal.journalNameHautarzten
heal.journalTypepeer-reviewed-
heal.languagede-
heal.publicationDate2000-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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