Tumor & Vascular Treatment

Sclerotherapy – Treating Vascular & Lymphatic Lesions

Minimally invasive treatment for recurrent cystic lesions, hemangiomas, lymphangiomas, and vascular malformations

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Affiliated hospitals

Philippine General Hospital
Asian Hospital and Medical Center
Manila Doctors Hospital
ManilaMed – Medical Center Manila
Angeles University Foundation Medical Center
World Citi Medical Center
Cabrini Medical Center
Dagupan Doctors Villaflor Memorial Hospital
Fe del Mundo Medical Center
Global Care Medical Center
Medical Center Taguig
Ospital ng Maynila
Prime Scan
San Juan de Dios Hospital
Laguna Doctors Hospital
Dr. Jeffrey P. Apo, Interventional Radiologist in Metro Manila

What Is Sclerotherapy?

Sclerotherapy is a minimally invasive procedure where a special solution is injected directly into vascular or lymphatic lesions—such as recurrent cysts, lymphangiomas, hemangiomas, or low-flow vascular malformations. The solution irritates the lining of the vessels or cysts, causing them to collapse and gradually be absorbed.

Sclerotherapy — image-guided procedure by Dr. Jeffrey Apo, Interventional Radiologist in Manila

Who Is It For?

This treatment is ideal for patients with:

  • Recurrent cystic lesions, including lymphatic (lymphangiomas) and blood vessel growths (hemangiomas)
  • Low‑flow vascular malformations (e.g. venous or lymphatic) causing discomfort, swelling, or occasional bleeding
  • People wanting a non-surgical, image-guided option instead of excision

Key Benefits

Targeted, image-guided injections using ultrasound or fluoroscopy
No general anesthesia—performed in a minor procedure setting
Sclerosant solutions (bleomycin, doxycycline, polidocanol) induce controlled vessel closure
Typically safe and effective—especially for cystic and macrocystic lesions

Common Uses

Lymphangiomas (cystic hygromas), especially in head/neck regionHemangiomas, particularly when surgery is difficultLow-flow vascular malformations, including venous or lymphatic malformations
Dr. Jeffrey P. Apo, Interventional Radiologist
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Local
Anesthesia
Outpatient
Setting
Same day
Recovery

Clinic Hours

Weekly Schedule

Monday
1:00 – 5:00 PMFe del Mundo Medical Center
Tuesday
2:00 – 5:00 PMOlistico Health Manila
Wednesday
12:00 NN – 2:00 PMSan Juan de Dios Hospital
Thursday
9:00 AM – 12:00 NNPhilippine General Hospital
Friday
12:00 NN – 2:00 PMSan Juan de Dios Hospital
Saturday
10:00 AM – 12:00 NNPhilippine General Hospital
3:00 – 4:00 PMOlistico Health Manila

Strictly by Appointment · No Walk-ins

Primary clinic

Olistico Health Manila

Unit 404, West East Center, 1332-1336 Taft Ave, Ermita, Manila

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FAQs: Sclerotherapy

How do I prepare for sclerotherapy?
Avoid blood thinners days before. Wear loose clothes and plan for someone to pick you up—procedure uses only mild sedation.
What happens during the procedure?
Dr. Apo will use ultrasound or imaging to guide a fine needle into the lesion, inject a sclerosant (like bleomycin or polidocanol), and then monitor it.
How many sessions are needed and when will I see results?
Cystic lesions often respond after 2–3 sessions, but mixed or microcystic types may require more. Lesions begin to shrink within weeks; full effect may take months.
What should I expect after treatment?
You might feel mild pain or swelling at the site and may see bruising or pigment changes. Most side effects are minor and temporary.

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