DIAGNOSTIC IMAGING IN THE EVALUATION OF VASCULAR BIRTHMARKS
Identifieur interne : 00B274 ( Main/Exploration ); précédent : 00B273; suivant : 00B275DIAGNOSTIC IMAGING IN THE EVALUATION OF VASCULAR BIRTHMARKS
Auteurs : Patricia E. Burrows [États-Unis] ; Tal Laor [États-Unis] ; Harriet Paltiel [États-Unis] ; Richard L. Robertson [États-Unis]Source :
- Dermatologic Clinics [ 0733-8635 ] ; 1998.
Abstract
Although numerous classifications of vascular birthmarks exist in literature, many are based on descriptive terminology. The subject remains confusing, especially to the unfamiliar practitioner. Appropriate treatment begins with the correct diagnosis; a significant number of patients with vascular birthmarks receive ineffective and potentially harmful treatment based on misdiagnosis. Although many patients can be correctly diagnosed following a careful history and physical examination by an experienced practitioner, some require diagnostic imaging or even biopsy for diagnosis. The biological classification of vascular anomalies proposed by Mulliken and Glowacki46 consists of two major categories: tumors (hemangiomas) and vascular malformations (Table 1).46 This classification is supported by clinical, histologic, histochemical, and biochemical differences, 27, 44, 46, 57 as well as by angiography and modern cross-sectional imaging.1, 10, 11, 13, 19, 22, 42, 50 Hemangiomas are proliferative endothelial cell tumors that typically present in infancy and have a characteristic period of rapid growth in the first year of life followed by slow involution. From this typical course, it should be apparent that any symptomatic lesion in an adult is not a hemangioma. Vascular malformations are considered to be developmental anomalies that are further classified according to the channel abnormalities (arterial [AM], arteriovenous [AVM], capillary [CM], venous [VM], lymphatic [LM], combined) or flow characteristics (high flow, low flow). The lesions can be readily distinguished by characteristic imaging findings on CT, MRI, and angiography (Table 2).1, 10, 11, 13, 19, 22, 42, 50 Interventional radiologic techniques, such as embolization and direct intralesional sclerosant injection, play an important role in the management of these lesions.8, 17, 18, 20, 23, 32, 34, 39, 55, 63, 64, 65
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DOI: 10.1016/S0733-8635(05)70246-1
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Burrows</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Radiology, Harvard Medical School</wicri:cityArea></affiliation></author><author><name sortKey="Laor, Tal" sort="Laor, Tal" uniqKey="Laor T" first="Tal" last="Laor">Tal Laor</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Radiology, Harvard Medical School</wicri:cityArea></affiliation></author><author><name sortKey="Paltiel, Harriet" sort="Paltiel, Harriet" uniqKey="Paltiel H" first="Harriet" last="Paltiel">Harriet Paltiel</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Radiology, Harvard Medical School</wicri:cityArea></affiliation></author><author><name sortKey="Robertson, Richard L" sort="Robertson, Richard L" uniqKey="Robertson R" first="Richard L." last="Robertson">Richard L. Robertson</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Radiology, Harvard Medical School</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Dermatologic Clinics</title><title level="j" type="abbrev">DET</title><idno type="ISSN">0733-8635</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1998">1998</date><biblScope unit="volume">16</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="455">455</biblScope><biblScope unit="page" to="488">488</biblScope></imprint><idno type="ISSN">0733-8635</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0733-8635</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Although numerous classifications of vascular birthmarks exist in literature, many are based on descriptive terminology. The subject remains confusing, especially to the unfamiliar practitioner. Appropriate treatment begins with the correct diagnosis; a significant number of patients with vascular birthmarks receive ineffective and potentially harmful treatment based on misdiagnosis. Although many patients can be correctly diagnosed following a careful history and physical examination by an experienced practitioner, some require diagnostic imaging or even biopsy for diagnosis. The biological classification of vascular anomalies proposed by Mulliken and Glowacki46 consists of two major categories: tumors (hemangiomas) and vascular malformations (Table 1).46 This classification is supported by clinical, histologic, histochemical, and biochemical differences, 27, 44, 46, 57 as well as by angiography and modern cross-sectional imaging.1, 10, 11, 13, 19, 22, 42, 50 Hemangiomas are proliferative endothelial cell tumors that typically present in infancy and have a characteristic period of rapid growth in the first year of life followed by slow involution. From this typical course, it should be apparent that any symptomatic lesion in an adult is not a hemangioma. Vascular malformations are considered to be developmental anomalies that are further classified according to the channel abnormalities (arterial [AM], arteriovenous [AVM], capillary [CM], venous [VM], lymphatic [LM], combined) or flow characteristics (high flow, low flow). The lesions can be readily distinguished by characteristic imaging findings on CT, MRI, and angiography (Table 2).1, 10, 11, 13, 19, 22, 42, 50 Interventional radiologic techniques, such as embolization and direct intralesional sclerosant injection, play an important role in the management of these lesions.8, 17, 18, 20, 23, 32, 34, 39, 55, 63, 64, 65</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Burrows, Patricia E" sort="Burrows, Patricia E" uniqKey="Burrows P" first="Patricia E." last="Burrows">Patricia E. Burrows</name></region><name sortKey="Laor, Tal" sort="Laor, Tal" uniqKey="Laor T" first="Tal" last="Laor">Tal Laor</name><name sortKey="Paltiel, Harriet" sort="Paltiel, Harriet" uniqKey="Paltiel H" first="Harriet" last="Paltiel">Harriet Paltiel</name><name sortKey="Robertson, Richard L" sort="Robertson, Richard L" uniqKey="Robertson R" first="Richard L." last="Robertson">Richard L. Robertson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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