Vascular Tumors

Sepúlveda, Abel; Buchanan, Edward P.

doi:10.1055/s-0034-1376260

Cited by 36 publications

(38 citation statements)

References 15 publications

(149 reference statements)

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“…Venous malformation has the tendency to expand and contract with the change of patient's posture as it is a dependent lesion. [13] Arteriovenous malformations are present at birth. They may not become noticeable until later in childhood or adulthood.…”

Section: Discussionmentioning

confidence: 99%

An unusual presentation of intramasseteric vascular malformation

Patil¹,

Iyengar²,

Kotni³

et al. 2016

IJMDCR

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Vascular malformations (VMs) are congenital anomalies of the capillary, venous, lymphatic, and arterial system. They may be distinguished from vasoproliferative tumors (hemangiomas) which present with increased endothelial cell turnover, whereas VMs are structural anomalies of vessels without endothelial cell proliferation. VMs, in general, occur in superficial areas such as lips, tongue, and buccal mucosa, and an intramuscular location is quite rare. An intra-massetric location may be mistaken for a parotid swelling and may also pose problems in terms of proximity to facial nerve. One such rare case of intra-massetric VM occurring in a 23-year-old female with an unusual clinical presentation is being presented in this case report. The patient complained of a swelling associated with pain on her right cheek since 9 months. The swelling develops only when her head and torso is bent to 90° or more for at least 5-10 min and gradually disappears on attaining an upright posture (turkey wattle sign). Color Doppler ultrasonographic findings were suggestive of a VM. The lesion was excised under general anesthesia and was sent for histopathologic evaluation which was suggestive of an intramuscular hemangioma/ malformation. The patient did not develop any post-operative complications and had recovered well after the surgery.

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Section: Discussionmentioning

confidence: 99%

An unusual presentation of intramasseteric vascular malformation

Patil¹,

Iyengar²,

Kotni³

et al. 2016

IJMDCR

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“…In most cases, the proliferative phase is complete by 3 to 5 months of life, as the lesion exhausts its blood supply. 2 The quiescent phase follows from 9 to 12 months of age. Involution begins as the overlying skin becomes dull red or gray, and the deep components of the lesion begin to shrink (►Fig.…”

Section: Infantile Hemangiomasmentioning

confidence: 99%

“…Corticosteroids, interferon, and vincristine are options for treatment, but their use must be closely monitored for significant side effects. 2 Surgical intervention can be used to excise localized lesions or fibrofatty residual tissue. Subtotal resection is an option for early treatment as the residual tissue may involute later in life.…”

Section: Infantile Hemangiomasmentioning

confidence: 99%

“…A complete discourse on vascular anomalies is beyond the scope of this article and is covered elsewhere in the literature. [1][2][3] However, we will briefly discuss hemangiomas, as they are the most commonly seen tumor in infancy. Additional skin lesions encountered in children include developmental anomalies, subcutaneous cysts, pigmented lesions, and hamartomas.…”

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confidence: 99%

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Common Pediatric Skin Lesions: A Comprehensive Review of the Current Literature

Jalalabadi

Trost

Cox

et al. 2016

Seminars in Plastic Surgery

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The timely diagnosis and treatment of dermatologic disease in the pediatric population can be challenging. A basic, yet comprehensive knowledge of common lesions is essential for a successful practice in plastic surgery. In this article, the authors describe vascular, cystic, and pigmented cutaneous lesions that are commonly encountered in the pediatric population. Epidemiology, pathogenesis, clinical course, and management options are discussed for each.

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“…According to the International Society for the Study of Vascular Anomalies (ISSVA) 1,2 , vascular anomalies are classi ed in vascular tumors and vascular malformations 3 . A comprehensive medical history combined with thorough physical examination are essentially required not only to distinguish vascular tumors from vascular malformations, but also to possibly identify the speci c type of vascular tumors 4 .…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Prognostic Factors in Pediatric Vascular Tumors

Rujkijyanont

Traivaree

Supakul

et al. 2020

Preprint

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Background: Vascular tumor is a specific entity of vascular anomalies with variable clinical manifestations and outcomes. Although surgical intervention is the gold standard to establish diagnosis and treatment, the procedure also carries certain risk especially in cases with large and inoperable tumors. Determinant factors to predict clinical outcomes among those patients were not well studied. The study aimed to explore clinical characteristics including investigational and treatment approaches as well as associated prognostic factors of vascular tumors specifically in pediatric populations. Methods: Pediatric patients with confirmed diagnosis of vascular tumors between January 1, 2005 and December 31, 2017 were enrolled in this study. Clinical data including initial clinical manifestations with associated complications, diagnostic studies used to establish diagnosis, treatment modalities provided and final outcomes were retrospectively reviewed and analyzed. Results: In all, 50 patients with confirmed diagnosis of vascular tumors were enrolled. The median age at diagnosis was 11.5 years with equal gender distribution. The most common type of vascular tumors was hemangioma (n=41, 82%), followed by pyogenic granuloma (n=4, 8%), kapasiform hemangioendothelioma with Kasabach-Merritt phenomenon (n=2, 4%), infantile hepatic hemangioma (n=2, 4%) and juvenile nasal angiofibroma (n=1, 2%). The median age at diagnosis among patients with cutaneous vascular tumors (12.4 years) was significantly older than the age of those with visceral vascular tumors (1.3 years) with p-value of 0.009. The mean size among patients with visceral tumors (7.46±4.84 cms) was significantly greater than the size among patients with cutaneous tumors (3.21±3.7 cms) with p-value of 0.023. Size of the tumor was the only independent risk factor associated with clinical outcomes.Conclusion: Clinical characteristics of vascular tumors are heterogenous. Diagnosis can be made using clinical manifestations combined with radiological and histopathological examination. Treatment approaches consist of close observation, medications and surgery. Clinical outcomes are favorable among most patients and size of the tumor is an independent risk factor associated with outcomes. This study was registered at www.clinicaltrials.in.th under the title, “Vascular tumors in pediatric hematology-oncology settings” with registration number: TCTR20190917001.

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Vascular Tumors

Cited by 36 publications

References 15 publications

An unusual presentation of intramasseteric vascular malformation

An unusual presentation of intramasseteric vascular malformation

Common Pediatric Skin Lesions: A Comprehensive Review of the Current Literature

Clinical Characteristics and Prognostic Factors in Pediatric Vascular Tumors

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