The most frequent complaints about hemangiomas stem from psychosocial complications. The condition can affect a person's appearance and provoke attention and malicious reactions from others. Particular problems occur if the lip or nose is involved, as distortions can be difficult to treat surgically . The potential for psychological injury develops from school age onward. It is therefore important to consider treatment before school begins if adequate spontaneous improvement has not occurred. Large hemangiomas can leave visible skin changes secondary to severe stretching that results in altered surface texture.
Treatment of intermediate MCTs with only regional node involvement have a better outcome than high grade ones. But vets believe that till proper investigations are carried out, treatment of the intermediate grade tumors should be attached highest priority. These lesions are treated with local surgery or radiotherapy only if thorough staging fails to reveal dissemination. The outcome is not very gratifying due to distant and regional metastasis. Since the prognosis is guarded for high grade tumors, a less expensive, coarse fraction radiation therapy protocol can be considered. For several years the use of prednisone has been found to be highly beneficial.