Infantile haemangiomas (IH) represent a common benign vascular tumour affecting the paediatric population. Infantile haemangiomas are characterised by a natural history differentiating it from other vascular anomalies. After a transient proliferative phase in early infancy, the tumour passes through a plateau phase before going into spontaneous involution. In this report, we tried to share our experience over the last 5 years in managing cases presenting with IH at a specialised vascular anomaly clinic. This report included cases of IH who were attending the vascular anomaly clinic during the period 2015 through 2019. Data of all patients attending the clinic were retrospectively examined. Files of 103 cases with IH were available for review. The diagnosis of IH was usually straight forward owing to the typical history and characteristic findings at clinical examination. A significant female predominance was noticed. Generally, IH were more common in the head and neck region (70%). Active intervention was necessary in specific situations (eye occlusion, airway involvement, large lesions with skin ulcerations). Whenever intervention proved to be necessary, propranolol was chosen as the first line of treatment with a favourable response detected in about 90% of cases. Surgery was still a valid option (6%) for lesions amenable to resection; however, we must put in consideration that most lesions will spontaneously regress. Infantile haemangiomas are common benign vascular tumours of infancy with relatively few complications. Cosmesis is a major concern especially for lesions affecting the face. Propranolol can induce tumour regression in most cases, and generally, a favourable outcome can be anticipated.

中文翻译：

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婴儿血管瘤：血管异常诊所 5 年经验

婴儿血管瘤 (IH) 是一种常见的良性血管肿瘤，影响儿科人群。婴儿血管瘤的特点是有自然病史，可将其与其他血管异常区分开来。在婴儿早期的短暂增殖期之后，肿瘤在进入自发退化之前经过平台期。在本报告中，我们试图分享我们过去 5 年在血管异常专科诊所处理 IH 病例的经验。该报告包括在 2015 年至 2019 年期间就诊于血管异常诊所的 IH 病例。回顾性检查了所有就诊于该诊所的患者的数据。有 103 个 IH 案例的文件可供审查。由于典型的病史和临​​床检查的特征性发现，IH 的诊断通常是直接的。注意到显着的女性优势。一般来说，IH 更常见于头颈部（70%）。在特定情况下（眼睛闭塞、气道受累、皮肤溃疡的大病变），积极干预是必要的。每当证明有必要进行干预时，普萘洛尔就被选为一线治疗，在大约 90% 的病例中检测到了良好的反应。对于适合切除的病灶，手术仍然是一个有效的选择 (6%)；然而，我们必须考虑到大多数病变会自发消退。婴儿血管瘤是婴儿期常见的良性血管肿瘤，并发症相对较少。美容是一个主要问题，尤其是影响面部的病变。在大多数情况下，普萘洛尔可以诱导肿瘤消退，并且通常可以预期有利的结果。