Successful treatment of retroperitoneal infantile hemangioendothelioma with Kasabach-Merritt syndrome using steroid, alpha-interferon, and vincristine

J Pediatr Hematol Oncol. 2009 Dec;31(12):952-4. doi: 10.1097/MPH.0b013e3181b7eb24.

Abstract

Infantile hemangioendothelioma (IHE) is a rare benign vascular tumor with potentially life-threatening complications. Various therapeutic options have been recommended according to the site, extent, and behavior of the IHE. Because of the slow and unpredictable response to treatment with using a single drug in critically ill patients, there is a tendency to administer drugs in combination to treat this disease. Here, we report on a 1-month-old female infant who had a retroperitoneal IHE with Kasabach-Merritt syndrome and she was successfully treated with a combination of steroid, interferon-alpha, and vincristine.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Disseminated Intravascular Coagulation / complications
  • Disseminated Intravascular Coagulation / drug therapy*
  • Drug Therapy, Combination
  • Female
  • Hemangioendothelioma / drug therapy*
  • Humans
  • Infant, Newborn
  • Interferon-alpha / therapeutic use*
  • Methylprednisolone / therapeutic use*
  • Retroperitoneal Neoplasms / drug therapy*
  • Syndrome
  • Treatment Outcome
  • Vincristine / therapeutic use*

Substances

  • Interferon-alpha
  • Vincristine
  • Methylprednisolone