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Management of Angioma

Francesco Ronchese, M.D.
JAMA. 1961;175(8):727. doi:10.1001/jama.1961.03040080083025.
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To the Editor:—  In regard to the management of angioma, I disagree with Dr. Kindel's statement in The Journal, Oct. 15, 1960, page 872, that the "watchful waiting" type of management is currently popular and accepted dogmatically. If it were so, we would have far more statistics to offer concerning the results of such therapy.I cannot see what terrible circumstances will follow if an angioma the size of a half dollar on an infant's buttock is left untreated. It is tragic indeed to see the same angioma located on an infantile vulva treated with radiation or by surgery. I have saved several from such a fate. Bleeding of a small angioma should not cause worry. In the cases in which I witnessed spontaneous involution, the result was cosmetically far superior to any treated ones, with any method.Dr. Kindel's paper is rather dogmatic in stating that radiations are the


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