婴儿血管瘤的诊断和治疗：在过去的15年中取得了巨大的进步。

IF 3.2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Presse Medicale Pub Date : 2025-05-28 DOI:10.1016/j.lpm.2025.104291

Dorine Canu , Sorilla Mary-Prey , Christine Leauté-Labreze

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引用次数: 0

摘要

婴儿血管瘤是婴儿最常见的良性血管肿瘤。临床上，病变可呈浅表（红色）和/或深部（肉色-潜在的蓝色外观）成分，可位于身体的所有部位，包括粘膜。重要的是要熟悉这个实体，因为它的频率，以便迅速安抚家长。这使得更容易知道何时将儿童转介到专家中心以便进行治疗，或者何时怀疑有综合征形式。大多数IH不需要治疗，因为它们会自行消退。那些有严重后遗症风险的患者必须接受治疗。直到2008年，一线治疗是大剂量全身皮质类固醇。法国人发现了心得安在防止肿瘤生长方面的惊人功效，这改变了建议，心得安现在被建议作为尽快开始的一线治疗。

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Diagnosis and management of infantile hemangiomas: Tremendous advances over the last 15 years

Infantile hemangioma (IH) is the most common benign vascular tumor in infants. Clinically, the lesion may have a superficial (red) and/or deep (flesh-colored–underlying bluish appearance) component and may be located in all areas of the body, including the mucosa. It is important to be familiar with this entity, given its frequency, in order to quickly reassure parents. This makes it easier to know when to refer the child to an expert Centre in order to introduce treatment, or when a syndromic form is suspected.

Most IH do not require treatment as they resolve spontaneously. Those at risk for significant sequelae must be treated. Until 2008 the first-line treatment was high-dose systemic corticosteroid. The French discovery of the spectacular efficacy of propranolol in preventing the growth of this tumor has changed the recommendations and propranolol is now proposed as the first-line treatment to be started as soon as possible.

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来源期刊

Presse Medicale 医学-医学：内科

自引率

3.70%

发文量

审稿时长

43 days

期刊介绍： Seule revue médicale "généraliste" de haut niveau, La Presse Médicale est l''équivalent francophone des grandes revues anglosaxonnes de publication et de formation continue. A raison d''un numéro par mois, La Presse Médicale vous offre une double approche éditoriale : - des publications originales (articles originaux, revues systématiques, cas cliniques) soumises à double expertise, portant sur les avancées médicales les plus récentes ; - une partie orientée vers la FMC, vous propose une mise à jour permanente et de haut niveau de vos connaissances, sous forme de dossiers thématiques et de mises au point dans les principales spécialités médicales, pour vous aider à optimiser votre formation.