Vulvar vascular tumors: a clinicopathologic study of 85 patients.
Identifieur interne : 002F83 ( Main/Exploration ); précédent : 002F82; suivant : 002F84Vulvar vascular tumors: a clinicopathologic study of 85 patients.
Auteurs : John A. Papalas [États-Unis] ; Omar P. Sangueza ; Puja K. Puri ; Stanley J. Robboy ; Maria A. SelimSource :
- The American Journal of dermatopathology [ 1533-0311 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Anomalies vasculaires (), Anomalies vasculaires (anatomopathologie), Biopsie, Cellules stromales (anatomopathologie), Dilatation pathologique, Enfant, Enfant d'âge préscolaire, Facteurs temps, Femelle, Humains, Hyperplasie, Jeune adulte, Nourrisson, Pronostic, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de la vulve (), Tumeurs de la vulve (anatomopathologie), Tumeurs du tissu vasculaire (), Tumeurs du tissu vasculaire (anatomopathologie), Valeur prédictive des tests.
- MESH :
- anatomopathologie : Anomalies vasculaires, Cellules stromales, Tumeurs de la vulve, Tumeurs du tissu vasculaire.
- Adolescent, Adulte, Adulte d'âge moyen, Anomalies vasculaires, Biopsie, Dilatation pathologique, Enfant, Enfant d'âge préscolaire, Facteurs temps, Femelle, Humains, Hyperplasie, Jeune adulte, Nourrisson, Pronostic, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de la vulve, Tumeurs du tissu vasculaire, Valeur prédictive des tests.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Biopsy, Child, Child, Preschool, Dilatation, Pathologic, Female, Humans, Hyperplasia, Infant, Middle Aged, Neoplasms, Vascular Tissue (classification), Neoplasms, Vascular Tissue (pathology), Neoplasms, Vascular Tissue (surgery), Predictive Value of Tests, Prognosis, Stromal Cells (pathology), Time Factors, Vascular Malformations (classification), Vascular Malformations (pathology), Vulvar Neoplasms (classification), Vulvar Neoplasms (pathology), Vulvar Neoplasms (surgery), Young Adult.
- MESH :
- classification : Neoplasms, Vascular Tissue, Vascular Malformations, Vulvar Neoplasms.
- pathology : Neoplasms, Vascular Tissue, Stromal Cells, Vascular Malformations, Vulvar Neoplasms.
- surgery : Neoplasms, Vascular Tissue, Vulvar Neoplasms.
- Adolescent, Adult, Aged, Aged, 80 and over, Biopsy, Child, Child, Preschool, Dilatation, Pathologic, Female, Humans, Hyperplasia, Infant, Middle Aged, Predictive Value of Tests, Prognosis, Time Factors, Young Adult.
Abstract
The subepidermal hormonally sensitive tissue of the vulva is anatomically unique and may give rise to a wide variety of vascular tumors. As a consequence, classifying vulvar vascular lesions has been challenging due both to the wide variety of lesions that may be encountered and the heterogeneity in reporting across several disciplines. The purpose of this study is to present an institutional experience of vulvar vascular lesions. Overall, 85 patients were identified over a 26-year period. Vascular lesions belonging to the following classes included (n, %total) benign vascular tumors (32, 38%), dilatations of preexisting vessels (31, 36%), hyperplasia/reactive (7, 8%), tumors with significant vascular component (11, 13%), malformations (3, 4%), and malignant vascular tumors (1, 1%). Two reaction patterns based on vulvar lymphatic pathology were identified: one is a stromal dominant pattern and the other is a vascular dominant pattern. Vulvar vascular malformations and true vascular malignancies, although rare, may have associated high morbidity. To accurately classify vulvar lymphatic lesions, the pathologist must carefully consider the patient's clinical history taking into account features such as preexisting lymphedema.
DOI: 10.1097/DAD.0b013e31823135c5
PubMed: 23348141
Affiliations:
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Le document en format XML
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Papalas</name><affiliation wicri:level="2"><nlm:affiliation>Pathology Section, Eastern Dermatology and Pathology, Greenville, NC, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Pathology Section, Eastern Dermatology and Pathology, Greenville, NC</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Sangueza, Omar P" sort="Sangueza, Omar P" uniqKey="Sangueza O" first="Omar P" last="Sangueza">Omar P. Sangueza</name></author><author><name sortKey="Puri, Puja K" sort="Puri, Puja K" uniqKey="Puri P" first="Puja K" last="Puri">Puja K. Puri</name></author><author><name sortKey="Robboy, Stanley J" sort="Robboy, Stanley J" uniqKey="Robboy S" first="Stanley J" last="Robboy">Stanley J. Robboy</name></author><author><name sortKey="Selim, Maria A" sort="Selim, Maria A" uniqKey="Selim M" first="Maria A" last="Selim">Maria A. Selim</name></author></analytic><series><title level="j">The American Journal of dermatopathology</title><idno type="eISSN">1533-0311</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Biopsy</term><term>Child</term><term>Child, Preschool</term><term>Dilatation, Pathologic</term><term>Female</term><term>Humans</term><term>Hyperplasia</term><term>Infant</term><term>Middle Aged</term><term>Neoplasms, Vascular Tissue (classification)</term><term>Neoplasms, Vascular Tissue (pathology)</term><term>Neoplasms, Vascular Tissue (surgery)</term><term>Predictive Value of Tests</term><term>Prognosis</term><term>Stromal Cells (pathology)</term><term>Time Factors</term><term>Vascular Malformations (classification)</term><term>Vascular Malformations (pathology)</term><term>Vulvar Neoplasms (classification)</term><term>Vulvar Neoplasms (pathology)</term><term>Vulvar Neoplasms (surgery)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anomalies vasculaires ()</term><term>Anomalies vasculaires (anatomopathologie)</term><term>Biopsie</term><term>Cellules stromales (anatomopathologie)</term><term>Dilatation pathologique</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Hyperplasie</term><term>Jeune adulte</term><term>Nourrisson</term><term>Pronostic</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de la vulve ()</term><term>Tumeurs de la vulve (anatomopathologie)</term><term>Tumeurs du tissu vasculaire ()</term><term>Tumeurs du tissu vasculaire (anatomopathologie)</term><term>Valeur prédictive des tests</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Anomalies vasculaires</term><term>Cellules stromales</term><term>Tumeurs de la vulve</term><term>Tumeurs du tissu vasculaire</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Neoplasms, Vascular Tissue</term><term>Vascular Malformations</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Neoplasms, Vascular Tissue</term><term>Stromal Cells</term><term>Vascular Malformations</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Neoplasms, Vascular Tissue</term><term>Vulvar Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Biopsy</term><term>Child</term><term>Child, Preschool</term><term>Dilatation, Pathologic</term><term>Female</term><term>Humans</term><term>Hyperplasia</term><term>Infant</term><term>Middle Aged</term><term>Predictive Value of Tests</term><term>Prognosis</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anomalies vasculaires</term><term>Biopsie</term><term>Dilatation pathologique</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Hyperplasie</term><term>Jeune adulte</term><term>Nourrisson</term><term>Pronostic</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de la vulve</term><term>Tumeurs du tissu vasculaire</term><term>Valeur prédictive des tests</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The subepidermal hormonally sensitive tissue of the vulva is anatomically unique and may give rise to a wide variety of vascular tumors. As a consequence, classifying vulvar vascular lesions has been challenging due both to the wide variety of lesions that may be encountered and the heterogeneity in reporting across several disciplines. The purpose of this study is to present an institutional experience of vulvar vascular lesions. Overall, 85 patients were identified over a 26-year period. Vascular lesions belonging to the following classes included (n, %total) benign vascular tumors (32, 38%), dilatations of preexisting vessels (31, 36%), hyperplasia/reactive (7, 8%), tumors with significant vascular component (11, 13%), malformations (3, 4%), and malignant vascular tumors (1, 1%). Two reaction patterns based on vulvar lymphatic pathology were identified: one is a stromal dominant pattern and the other is a vascular dominant pattern. Vulvar vascular malformations and true vascular malignancies, although rare, may have associated high morbidity. To accurately classify vulvar lymphatic lesions, the pathologist must carefully consider the patient's clinical history taking into account features such as preexisting lymphedema.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Caroline du Nord</li></region></list><tree><noCountry><name sortKey="Puri, Puja K" sort="Puri, Puja K" uniqKey="Puri P" first="Puja K" last="Puri">Puja K. Puri</name><name sortKey="Robboy, Stanley J" sort="Robboy, Stanley J" uniqKey="Robboy S" first="Stanley J" last="Robboy">Stanley J. Robboy</name><name sortKey="Sangueza, Omar P" sort="Sangueza, Omar P" uniqKey="Sangueza O" first="Omar P" last="Sangueza">Omar P. Sangueza</name><name sortKey="Selim, Maria A" sort="Selim, Maria A" uniqKey="Selim M" first="Maria A" last="Selim">Maria A. Selim</name></noCountry><country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Papalas, John A" sort="Papalas, John A" uniqKey="Papalas J" first="John A" last="Papalas">John A. Papalas</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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