FROM THE care and study of a large group of patients with hemangiomas of wide variety in location, duration, former treatment, pathology, requirements for treatment and presenting of many problems of repair of destructive processes, surgical removal, and radiation lesions, observations thought to be of importance are outlined.
Bright-red arterial hemangiomas require careful and prompt treatment in most instances. These bright-red growths occur early in infancy and are possibly true neoplasms, whereas purely congenital types, such as port-wine stains and the bluish cavernous lesions, are possibly anomalies of formation of the skin, or the vessels, or both. These usually do not take on neoplastic tendencies, except occasionally later in life.
These bright-red growths usually start as small areas and may increase rapidly in size, so that a whole feature of the face may be destroyed while some plan of "wait and see" is being followed or hope of retrogression is