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January 17, 1966

The Treatment of Hemangiomas in Children

JAMA. 1966;195(3):228. doi:10.1001/jama.1966.03100030122040

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To the Editor:—  Exception must be taken with the premise of the authors in the article on "Cutaneous Hemangiomas in Children" published in The Journal (194:523, 1965) which states that "hemangiomas in infants and children are managed best by intelligent neglect." I speak from long experience, having attended more than 1,000 patients with angiomata in the past 30 years. Most of these patients were treated with radium.It is true the defense mechanisms in many patients will eventually gain the upper hand and destroy an angioma. On the other hand, an angioma may grow rapidly and continuously, defying the reaction in adjacent tissues.The purpose of treatment is not to destroy the growth by irradiation but to stop the growth, permitting the body defenses to eradicate it. I agree that destructive measures, such as freezing, injections, or surgery, have no place in therapy. However, in my experience, sloughing and

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