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Wednesday, October 14, 2009

MRCPCH Part 1 and DCH MCQ question #2

A 3-month-old boy presents with a 3cm cavernous haemangioma behind the right ear.
Which is the best advice to give the parents?
(Please select 1 option)

He should be referred to the plastic surgeons for surgical removal
He should receive 2 mg/kg of prednisolone for 4 months to shrink it down
He should receive alpha interferon injections
He should receive intralesional triamcinolone injections
It is likely to enlarge to about a year of age, then disappear over the next 5-8 years
Answer:
It is likely to enlarge to about a year of age, then disappear over the next 5-8 years

These lesions usually regress spontaneously. Interventions are used where the lesions affect facial features or vital structures (e.g. larynx, vision).