Infantile hepatic hemangiomas: looking backwards and forwards

被引:18
作者
Gong, Xue [1 ]
Li, Yanan [1 ]
Yang, Kaiying [1 ]
Chen, Siyuan [2 ]
Ji, Yi [1 ]
机构
[1] Sichuan Univ, Dept Pediat Surg, Div Oncol, West China Hosp, Chengdu 610041, Peoples R China
[2] Sichuan Univ, Dept Crit Care Med, Pediat Intens Care Unit, West China Hosp, Chengdu 610041, Peoples R China
关键词
infantile hepatic hemangioma; angiogenesis; vasculogenesis; screening; endothelial progenitor cells; glycolysis; consumptive hypothyroidism; treatment; ENDOTHELIAL PROGENITOR CELLS; DIFFUSE NEONATAL HEMANGIOMATOSIS; 1ST-LINE TREATMENT; RISK-FACTORS; CLINICAL CHARACTERISTICS; NATIONWIDE SURVEY; PROPRANOLOL; LIVER; TRAFFICKING; MANAGEMENT;
D O I
10.1093/pcmedi/pbac006
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Infantile hepatic hemangiomas (IHHs) are common benign tumors seen in the liver of infants. IHHs are true infantile hemangiomas (IHs) and have phases of proliferation and involution parallel to those of cutaneous IHs. The definition and classification of IHH are still confusing in the literature. The mechanisms during the pathogenesis of IHH have yet to be discovered. The clinical manifestations of IHH are heterogeneous. Although most IHH lesions are asymptomatic, some lesions can lead to severe complications, such as hypothyroidism, consumptive coagulopathy, and high-output congestive cardiac failure. Consequently, some patients can possibly encounter a fatal clinical condition. The heterogeneity of the lesions and the occurrence of disease-related comorbidities can make the treatment of IHH challenging. Oral propranolol is emerging as an effective systemic approach to IHH with obvious responses in tumor remission and symptom regression. However, the precise clinical characteristics and treatment strategies for patients with severe IHH have not yet been well established. Here, we summarize the epidemiology, pathogenic mechanism, clinical manifestations, diagnosis, and treatment of IHH. Recent updates and future perspectives for IHH will also be elaborated.
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页数:12
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