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HEALTH PROFESSIONAL · SOURCE READING

Treatment of complicated kaposiform hemangioendothelioma and tufted angioma

Source: Childhood Vascular Tumors Treatment (PDQ®)–Health Professional Version, National Cancer Institute.

Source updated: April 17, 2025 · Captured 2026-09-09.

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Context: Intermediate Tumors (Locally Aggressive) / Kaposiform Hemangioendothelioma and Tufted Angioma / Treatment of kaposiform hemangioendothelioma and tufted angioma

Patients who have Kasabach-Merritt phenomenon and/or functional compromise and are symptomatic need aggressive therapy. An American and Canadian multidisciplinary expert panel published guidelines for the management of complicated kaposiform hemangioendotheliomas.[21] A number of treatment therapies have been reported but none have been uniformly effective.[22,23]

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Treatment options for complicated kaposiform hemangioendotheliomas and Kasabach-Merritt phenomenon include the following:

Vincristine with or without steroid therapy.

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Sirolimus with or without steroid therapy.

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Surgical excision.

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Preserved source evidence · Not medical advice