Radiation Treatment of Pediatric Hepatic Hemangiomatosis and Coexisting Cardiac Failure

Abstract

Although most pediatric hemangiomas are spontaneously self-involuting tumors,1 a small fraction do not involute and may require drastic therapeutic intervention, as in the invariably fatal syndrome of cutaneous lesions, hepatic hemangiomas, and cardiac failure.2 , 3 We report on a six-month-old child who was treated with a small dose of radiation to less than half the mass of the enlarged liver after she did not respond to conventional therapy and corticosteroids. Dramatic recovery followed, and she is alive three years after treatment and is without evidence of late sequelae.Case ReportThe patient was born after a normal full-term pregnancy. At two . . .