scholarly journals 2014 Revised Classification of Vascular Lesions from the International Society for the Study of Vascular Anomalies: Radiologic-Pathologic Update

Radiographics ◽  
2016 ◽  
Vol 36 (5) ◽  
pp. 1494-1516 ◽  
Author(s):  
Arnold C. Merrow ◽  
Anita Gupta ◽  
Manish N. Patel ◽  
Denise M. Adams
Keyword(s):  
International Society ◽  
Vascular Anomalies ◽  
Vascular Lesions

scholarly journals Cutaneous Vascular Anomalies Associated With Neural Tube Defects: Nomenclature and Pathology Revisited

Neurosurgery ◽  
2011 ◽  
Vol 69 (1) ◽  
pp. 112-118 ◽  
Author(s):  
Todd Maugans ◽  
Rachel M Sheridan ◽  
Denise Adams ◽  
Anita Gupta
Keyword(s):  
International Society ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Vascular Malformations ◽  
Strong Association ◽  
Vascular Anomalies ◽  
Vascular Lesions ◽  
Dermal Sinus ◽  
Cutaneous Lesions ◽  
Glut 1

Abstract BACKGROUND: Lumbosacral cutaneous vascular anomalies associated with neural tube defects are frequently described in the literature as “hemangiomas.” The classification system for pediatric vascular anomalies developed by the International Society for the Study of Vascular Anomalies provides a framework to accurately diagnose these lesions. OBJECTIVE: To apply this classification to vascular cutaneous anomalies overlying myelodysplasias. METHODS: A retrospective analysis of patients with neural tube defects and lumbosacral cutaneous vascular lesions was performed. All eligible patients had detailed histopathologic analysis of skin and spinal cord/placode lesions. Clinical and radiologic features were analyzed. Conventional histology and GLUT-1 immunostaining were performed to differentiate infantile capillary hemangiomas from capillary vascular malformations. RESULTS: Ten cases with cutaneous lesions associated with neural tube defects were reviewed. Five lesions were diagnosed as infantile capillary hemangiomas based upon histology and positive GLUT-1 endothelial reactivity. These lesions had a strong association with dermal sinus tracts. No reoperations were required for residual intraspinal vascular lesions, and overlying cutaneous vascular anomalies involuted with time. The remaining 5 lesions were diagnosed as capillary malformations. These occurred with both open and closed neural tube defects, did not involute, and demonstrated enlargement and darkening due to vascular congestion. CONCLUSION: The International Society for the Study of Vascular Anomalies scheme should be used to describe the cutaneous vascular lesions associated with neural tube defects: infantile capillary hemangiomas and capillary malformations. We advocate that these lesions be described as “vascular anomalies” or “stains” pending accurate diagnosis by clinical, histological, and immunohistochemical evaluations.

Vascular birthmarks

2020 ◽  
pp. 91-119
Keyword(s):  
Quality Of Life ◽  
Interventional Radiology ◽  
Natural History ◽  
International Society ◽  
Accurate Diagnosis ◽  
Vascular Anomalies ◽  
Life Threatening ◽  
Vascular Birthmarks

The spectrum of vascular birthmarks is described which varies from the simple common infantile haemangioma (strawberry) to rare potentially life-threatening complex and syndromic vascular anomalies (VA). Accurate diagnosis is essential for information on the natural history and prognosis and for patient care. Too often progress in the past has been hampered by confusion in clinical diagnosis among medical and surgical specialties. Advances in this area have been transformed by the International Society of Vascular Anomalies which updated its classification of VA in 2014. Classification has also been facilitated by advances in molecular genetics which not only has identified different phenotypes but also offers potential pathways for drug treatment. Many VAs are complex requiring a multidisciplinary approach to treatment as evidenced by the development of VA specialty clinics in most countries in recent years. Interventional radiology has revolutionized the management of many VA. We are now at the cusp of multiple exciting new discoveries, which have the potential to improve the quality of life for patients with VA, offering hope to many where previously there was none

scholarly journals Revisiting the question of cutaneous vasculitis classification

2021 ◽  
Vol 97 (4) ◽  
pp. 48-59
Author(s):  
Alexey V. Samtsov ◽  
Vladislav R. Khairutdinov ◽  
Evgeny V. Sokolovskiy ◽  
Muza M. Kokhan ◽  
Irena E. Belousova ◽  
...  
Keyword(s):  
Diagnostic Criteria ◽  
Clinical Picture ◽  
Integrated Assessment ◽  
Clinical Signs ◽  
Cutaneous Vasculitis ◽  
Vascular Lesions ◽  
Instrumental Methods

Currently, there is no generally accepted terminology and classification of vasculitis and vascular cutaneous disorders. In Russia there are various approaches to the classification of cutaneous vasculitis vascular lesions are classified according to clinical signs, etiology and pathogenesis. Significant difficulties are caused by the lack of a unified terminology, clear diagnostic criteria for vasculitis and the existence of a large number of duplicate names, among which there are many eponymous terms. This issue is one of the most complex, confusing and debatable not only in dermatovenereology, but also in other disciplines. Modern principles of diagnosis of cutaneous vasculitis are based on an integrated assessment of the data of the disease history, clinical picture, laboratory and instrumental methods of examination. For standardization of definitions and diagnostic criteria, it is necessary, first of all, to adopt a unified interdisciplinary classification of vasculitis, which will be based on the etiopathogenetic principle. The applied unified classification of cutaneous vasculitis is proposed for discussion.

Is There an Association Between Hemangioma and Syndromes With Dysmorphic Features?

PEDIATRICS ◽  
1991 ◽  
Vol 88 (6) ◽  
pp. 1257-1267
Author(s):  
A. Jay Burns ◽  
Lawrence C. Kaplan ◽  
John B. Mulliken
Keyword(s):  
Aortic Arch ◽  
Vascular Malformations ◽  
Vascular Anomalies ◽  
Vascular Lesions ◽  
Dysmorphic Features ◽  
Vascular Birthmarks ◽  
Neonatal Tumor ◽  
Nevus Flammeus ◽  
Genitourinary Defects

Most vascular birthmarks can be categorized, based on clinical and cellular criteria, as either (1) a hemangioma, or (2) a malformation, or (3) a macular stain. Macular stains are commonly seen in newborns, and they consist of faint vascular stains of the glabella, eyelids, and nuchal region called "nevus flammeus," "stork bite," "salmon patch," etc. Unfortunately, the term "hemangioma" is frequently applied to all three types of cutaneous vascular lesions. Usually, these disparate vascular anomalies are listed in association with various malformative syndromes and are generically labeled "hemangioma." This study attempts to define accurately the specific vascular anomalies seen in children born with syndromes with dysmorphic features. This review of five standard textbooks of genetics showed that the majority of vascular anomalies reported in syndromic newborns are not hemangiomas. Rather, they are macular stains, and the vast majority of these fade with time. Congenital telangiectasias and other vascular malformations (capillary, lymphatic, venous, arterial, and combinations thereof) also occur in association with dysmorphic syndromes. contrast, hemangioma, the most common neonatal tumor, is seen only incidentally with rare dysmorphic conditions. Specifically, hemangioma was found to occur only in association with midline (sternal, abdominal) clefting, right-sided aortic arch coarctation, and with a constellation of sacral and genitourinary defects.

A simple, practical classification of spinal vascular lesions

1995 ◽  
pp. 516-518
Author(s):  
Y. Kikuchi ◽  
D. A. Rufenacht ◽  
B. C. Chu ◽  
K. Miyasaka
Keyword(s):  
Vascular Lesions

scholarly journals Management of vascular anomalies: Review of institutional management algorithm

2017 ◽  
Vol 50 (02) ◽  
pp. 193-200 ◽  
Author(s):  
Lalit K. Makhija ◽  
Sameek Bhattacharya
Keyword(s):  
Multidisciplinary Approach ◽  
Vascular Malformations ◽  
Treatment Protocol ◽  
Vascular Anomalies ◽  
Algorithmic Approach ◽  
Institutional Management ◽  
Management Algorithm ◽  
Biological Classification ◽  
Functional Consequences

ABSTRACT Introduction: Vascular anomalies are congenital lesions broadly categorised into vascular tumour (haemangiomas) and vascular dysmorphogenesis (vascular malformation). The management of these difficult problems has lately been simplified by the biological classification and multidisciplinary approach. To standardise the treatment protocol, an algorithm has been devised. The study aims to validate the algorithm in terms of its utility and presents our experience in managing vascular anomalies. Materials and Methods: The biological classification of Mulliken and Glowacki was followed. A detailed algorithm for management of vascular anomalies has been devised in the department. The protocol is being practiced by us since the past two decades. The data regarding the types of lesions and treatment modality used were maintained. Results and Conclusion: This study was conducted from 2002 to 2012. A total of 784 cases of vascular anomalies were included in the study of which 196 were haemangiomas and 588 were vascular malformations. The algorithmic approach has brought an element of much-needed objectivity in the management of vascular anomalies. This has helped us to define the management of particular lesion considering its pathology, extent and aesthetic and functional consequences of ablation to a certain extent.

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