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05.01.2022 | Pediatric Body MRI

Vascular anomalies: clinical perspectives

verfasst von: Joao Guilherme Amaral, Irene Lara-Corrales

Erschienen in: Pediatric Radiology | Ausgabe 2/2022

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Abstract

Vascular anomalies are classified as vascular tumors or vascular malformations according to their cellular features and biological behavior. Detailed history and clinical assessment allow for the proper clinical diagnosis of most vascular anomalies and guide the choice of imaging to evaluate them. This article discusses the general information needed from a clinical history and physical exam to formulate a diagnosis of vascular anomaly. Then, the authors review the clinical findings from the most common vascular tumors and vascular malformations.
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Literatur
1.
Zurück zum Zitat Mulliken JB, Burrows PE, Fishman SJ (2013) Mulliken and Young’s vascular anomalies: hemangiomas and malformations, 2nd edn. Oxford University Press, New YorkCrossRef Mulliken JB, Burrows PE, Fishman SJ (2013) Mulliken and Young’s vascular anomalies: hemangiomas and malformations, 2nd edn. Oxford University Press, New YorkCrossRef
2.
Zurück zum Zitat Zuniga-Castillo M, Teng CL, Teng JMC (2019) Genetics of vascular malformation and therapeutic implications. Curr Opin Pediatr 31:498–508PubMedCrossRef Zuniga-Castillo M, Teng CL, Teng JMC (2019) Genetics of vascular malformation and therapeutic implications. Curr Opin Pediatr 31:498–508PubMedCrossRef
3.
Zurück zum Zitat John P (2014) Vascular anomalies. In: Temple M, Marshalleck FE (eds) Pediatric interventional radiology: handbook of vascular and non-vascular interventions. Springer, New York, pp 177–224CrossRef John P (2014) Vascular anomalies. In: Temple M, Marshalleck FE (eds) Pediatric interventional radiology: handbook of vascular and non-vascular interventions. Springer, New York, pp 177–224CrossRef
4.
Zurück zum Zitat Tekes A, Koshy J, Kalayci TO et al (2014) S. E. Mitchell vascular anomalies flow chart (SEMVAFC): a visual pathway combining clinical and imaging findings for classification of soft-tissue vascular anomalies. Clin Radiol 69:443–457PubMedCrossRef Tekes A, Koshy J, Kalayci TO et al (2014) S. E. Mitchell vascular anomalies flow chart (SEMVAFC): a visual pathway combining clinical and imaging findings for classification of soft-tissue vascular anomalies. Clin Radiol 69:443–457PubMedCrossRef
5.
Zurück zum Zitat Anomalies ISftSoV (2018) ISSVA Classification of Vascular Anomalies ©2018 International Society for the Study of Vascular Anomalies Available at issva.org/classification. Accessed March 31, 2021 Anomalies ISftSoV (2018) ISSVA Classification of Vascular Anomalies ©2018 International Society for the Study of Vascular Anomalies Available at issva.​org/​classification. Accessed March 31, 2021
6.
Zurück zum Zitat Van Damme A, Seront E, Dekeuleneer V et al (2020) New and emerging targeted therapies for vascular malformations. Am J Clin Dermatol 21:657–668PubMedCrossRef Van Damme A, Seront E, Dekeuleneer V et al (2020) New and emerging targeted therapies for vascular malformations. Am J Clin Dermatol 21:657–668PubMedCrossRef
7.
Zurück zum Zitat Hoornweg MJ, Smeulders MJ, Ubbink DT, van der Horst CM (2012) The prevalence and risk factors of infantile haemangiomas: a case-control study in the Dutch population. Paediatr Perinat Epidemiol 26:156–162PubMedCrossRef Hoornweg MJ, Smeulders MJ, Ubbink DT, van der Horst CM (2012) The prevalence and risk factors of infantile haemangiomas: a case-control study in the Dutch population. Paediatr Perinat Epidemiol 26:156–162PubMedCrossRef
8.
Zurück zum Zitat North PE, Waner M, Mizeracki A, Mihm MC Jr (2000) GLUT1: a newly discovered immunohistochemical marker for juvenile hemangiomas. Hum Pathol 31:11–22PubMedCrossRef North PE, Waner M, Mizeracki A, Mihm MC Jr (2000) GLUT1: a newly discovered immunohistochemical marker for juvenile hemangiomas. Hum Pathol 31:11–22PubMedCrossRef
9.
Zurück zum Zitat Hemangioma Investigator Group, Haggstrom AN, Drolet BA et al (2007) Prospective study of infantile hemangiomas: demographic, prenatal, and perinatal characteristics. J Pediatr 150:291–294CrossRef Hemangioma Investigator Group, Haggstrom AN, Drolet BA et al (2007) Prospective study of infantile hemangiomas: demographic, prenatal, and perinatal characteristics. J Pediatr 150:291–294CrossRef
10.
Zurück zum Zitat Amir J, Metzker A, Krikler R, Reisner SH (1986) Strawberry hemangioma in preterm infants. Pediatr Dermatol 3:331–332PubMedCrossRef Amir J, Metzker A, Krikler R, Reisner SH (1986) Strawberry hemangioma in preterm infants. Pediatr Dermatol 3:331–332PubMedCrossRef
11.
Zurück zum Zitat Braun V, Prey S, Gurioli C et al (2020) Congenital haemangiomas: a single-centre retrospective review. BMJ Paediatr Open 4:e000816 Braun V, Prey S, Gurioli C et al (2020) Congenital haemangiomas: a single-centre retrospective review. BMJ Paediatr Open 4:e000816
12.
13.
Zurück zum Zitat Chang LC, Haggstrom AN, Drolet BA et al (2008) Growth characteristics of infantile hemangiomas: implications for management. Pediatrics 122:360–367PubMedCrossRef Chang LC, Haggstrom AN, Drolet BA et al (2008) Growth characteristics of infantile hemangiomas: implications for management. Pediatrics 122:360–367PubMedCrossRef
14.
Zurück zum Zitat Chamlin SL, Haggstrom AN, Drolet BA et al (2007) Multicenter prospective study of ulcerated hemangiomas. J Pediatr 151:684–689, 689e681 Chamlin SL, Haggstrom AN, Drolet BA et al (2007) Multicenter prospective study of ulcerated hemangiomas. J Pediatr 151:684–689, 689e681
15.
Zurück zum Zitat Couto RA, Maclellan RA, Zurakowski D et al (2012) Infantile hemangioma: clinical assessment of the involuting phase and implications for management. Plast Reconstr Surg 130:619–624PubMedCrossRef Couto RA, Maclellan RA, Zurakowski D et al (2012) Infantile hemangioma: clinical assessment of the involuting phase and implications for management. Plast Reconstr Surg 130:619–624PubMedCrossRef
16.
Zurück zum Zitat Metry DW, Haggstrom AN, Drolet BA et al (2006) A prospective study of PHACE syndrome in infantile hemangiomas: demographic features, clinical findings, and complications. Am J Med Genet A 140:975–986PubMedCrossRef Metry DW, Haggstrom AN, Drolet BA et al (2006) A prospective study of PHACE syndrome in infantile hemangiomas: demographic features, clinical findings, and complications. Am J Med Genet A 140:975–986PubMedCrossRef
17.
Zurück zum Zitat Frieden IJ, Reese V, Cohen D (1996) PHACE syndrome. The association of posterior fossa brain malformations, hemangiomas, arterial anomalies, coarctation of the aorta and cardiac defects, and eye abnormalities. Arch Dermatol 132:307–311PubMedCrossRef Frieden IJ, Reese V, Cohen D (1996) PHACE syndrome. The association of posterior fossa brain malformations, hemangiomas, arterial anomalies, coarctation of the aorta and cardiac defects, and eye abnormalities. Arch Dermatol 132:307–311PubMedCrossRef
18.
Zurück zum Zitat Metry D, Heyer G, Hess C et al (2009) Consensus statement on diagnostic criteria for PHACE syndrome. Pediatrics 124:1447–1456PubMedCrossRef Metry D, Heyer G, Hess C et al (2009) Consensus statement on diagnostic criteria for PHACE syndrome. Pediatrics 124:1447–1456PubMedCrossRef
19.
20.
21.
Zurück zum Zitat Iacobas I, Burrows PE, Frieden IJ et al (2010) LUMBAR: association between cutaneous infantile hemangiomas of the lower body and regional congenital anomalies. J Pediatr 157:795–801PubMedCrossRef Iacobas I, Burrows PE, Frieden IJ et al (2010) LUMBAR: association between cutaneous infantile hemangiomas of the lower body and regional congenital anomalies. J Pediatr 157:795–801PubMedCrossRef
22.
Zurück zum Zitat Hughes JA, Hill V, Patel K et al (2004) Cutaneous haemangioma: prevalence and sonographic characteristics of associated hepatic haemangioma. Clin Radiol 59:273–280PubMedCrossRef Hughes JA, Hill V, Patel K et al (2004) Cutaneous haemangioma: prevalence and sonographic characteristics of associated hepatic haemangioma. Clin Radiol 59:273–280PubMedCrossRef
23.
24.
Zurück zum Zitat Restrepo R, Palani R, Cervantes LF et al (2011) Hemangiomasrevisited: the useful, the unusual and the new. Part 1: overview and clinicaland imaging characteristics. Pediatr Radiol 41:895–904PubMedCrossRef Restrepo R, Palani R, Cervantes LF et al (2011) Hemangiomasrevisited: the useful, the unusual and the new. Part 1: overview and clinicaland imaging characteristics. Pediatr Radiol 41:895–904PubMedCrossRef
25.
Zurück zum Zitat Berenguer B, Mulliken JB, Enjolras O et al (2003) Rapidly involuting congenital hemangioma: clinical and histopathologic features. Pediatr Dev Pathol 6:495–510PubMedCrossRef Berenguer B, Mulliken JB, Enjolras O et al (2003) Rapidly involuting congenital hemangioma: clinical and histopathologic features. Pediatr Dev Pathol 6:495–510PubMedCrossRef
26.
Zurück zum Zitat Krol A, MacArthur CJ (2005) Congenital hemangiomas: rapidly involuting and noninvoluting congenital hemangiomas. Arch Facial Plast Surg 7:307–311PubMedCrossRef Krol A, MacArthur CJ (2005) Congenital hemangiomas: rapidly involuting and noninvoluting congenital hemangiomas. Arch Facial Plast Surg 7:307–311PubMedCrossRef
27.
Zurück zum Zitat Mulliken JB, Enjolras O (2004) Congenital hemangiomas and infantile hemangioma: missing links. J Am Acad Dermatol 50:875–882PubMedCrossRef Mulliken JB, Enjolras O (2004) Congenital hemangiomas and infantile hemangioma: missing links. J Am Acad Dermatol 50:875–882PubMedCrossRef
28.
Zurück zum Zitat Patel A, De Leacy R, Berenstein A (2019) Angiographic and Clinical Features of Noninvoluting Congenital Hemangiomas. AJNR Am J Neuroradiol 40:845–848PubMedPubMedCentralCrossRef Patel A, De Leacy R, Berenstein A (2019) Angiographic and Clinical Features of Noninvoluting Congenital Hemangiomas. AJNR Am J Neuroradiol 40:845–848PubMedPubMedCentralCrossRef
29.
Zurück zum Zitat Debelenko LV, Perez-Atayde AR, Mulliken JB et al (2005) D2–40 immunohistochemical analysis of pediatric vascular tumors revealspositivity in kaposiform hemangioendothelioma. Mod Pathol 18:1454–1460PubMedCrossRef Debelenko LV, Perez-Atayde AR, Mulliken JB et al (2005) D2–40 immunohistochemical analysis of pediatric vascular tumors revealspositivity in kaposiform hemangioendothelioma. Mod Pathol 18:1454–1460PubMedCrossRef
30.
Zurück zum Zitat Putra J, Gupta A (2017) Kaposiform haemangioendothelioma: a review with emphasis on histological differential diagnosis. Pathology 49:356–362PubMedCrossRef Putra J, Gupta A (2017) Kaposiform haemangioendothelioma: a review with emphasis on histological differential diagnosis. Pathology 49:356–362PubMedCrossRef
31.
Zurück zum Zitat Croteau SE, Liang MG, Kozakewich HP et al (2013) Kaposiform hemangioendothelioma: atypical features and risks of Kasabach-Merritt phenomenon in 107 referrals. J Pediatr 162:142–147PubMedCrossRef Croteau SE, Liang MG, Kozakewich HP et al (2013) Kaposiform hemangioendothelioma: atypical features and risks of Kasabach-Merritt phenomenon in 107 referrals. J Pediatr 162:142–147PubMedCrossRef
32.
33.
Zurück zum Zitat Ji Y, Yang K, Peng S et al (2018) Kaposiform haemangioendothelioma: clinical features, complications and risk factors for Kasabach-Merritt phenomenon. Br J Dermatol 179:457–463PubMed Ji Y, Yang K, Peng S et al (2018) Kaposiform haemangioendothelioma: clinical features, complications and risk factors for Kasabach-Merritt phenomenon. Br J Dermatol 179:457–463PubMed
34.
Zurück zum Zitat Boccara O, Fraitag S, Lasne D et al (2016) Kaposiform Haemangioendothelioma-spectrum Lesions with Kasabach-Merritt Phenomenon: Retrospective Analysis and Long-term Outcome. Acta Derm Venereol 96:77–81PubMedCrossRef Boccara O, Fraitag S, Lasne D et al (2016) Kaposiform Haemangioendothelioma-spectrum Lesions with Kasabach-Merritt Phenomenon: Retrospective Analysis and Long-term Outcome. Acta Derm Venereol 96:77–81PubMedCrossRef
35.
Zurück zum Zitat Enjolras O, Mulliken JB, Wassef M et al (2000) Residual lesions after Kasabach-Merritt phenomenon in 41 patients. J Am Acad Dermatol 42:225–235PubMedCrossRef Enjolras O, Mulliken JB, Wassef M et al (2000) Residual lesions after Kasabach-Merritt phenomenon in 41 patients. J Am Acad Dermatol 42:225–235PubMedCrossRef
36.
Zurück zum Zitat Rozas-Munoz E, Frieden IJ, Roe E et al (2016) Vascular Stains: Proposal for a Clinical Classification to Improve Diagnosis and Management. Pediatr Dermatol 33:570–584PubMedCrossRef Rozas-Munoz E, Frieden IJ, Roe E et al (2016) Vascular Stains: Proposal for a Clinical Classification to Improve Diagnosis and Management. Pediatr Dermatol 33:570–584PubMedCrossRef
37.
Zurück zum Zitat Cooke-Barber J, Kreimer S, Patel M et al (2020) Venous malformations. Semin Pediatr Surg 29:150976 Cooke-Barber J, Kreimer S, Patel M et al (2020) Venous malformations. Semin Pediatr Surg 29:150976
38.
Zurück zum Zitat Legiehn GM, Heran MK (2010) A Step-by-Step Practical Approach to Imaging Diagnosis and Interventional Radiologic Therapy in Vascular Malformations. Semin Intervent Radiol 27:209–231PubMedPubMedCentralCrossRef Legiehn GM, Heran MK (2010) A Step-by-Step Practical Approach to Imaging Diagnosis and Interventional Radiologic Therapy in Vascular Malformations. Semin Intervent Radiol 27:209–231PubMedPubMedCentralCrossRef
39.
Zurück zum Zitat Legiehn GM, Heran MK (2008) Venous malformations: classification, development, diagnosis, and interventional radiologic management. Radiol Clin North Am 46:545–597, viCrossRef Legiehn GM, Heran MK (2008) Venous malformations: classification, development, diagnosis, and interventional radiologic management. Radiol Clin North Am 46:545–597, viCrossRef
40.
Zurück zum Zitat Acord M, Srinivasan AS, Cahill AM (2016) Percutaneous treatment of lymphatic malformations. Tech Vasc Interv Radiol 19:305–311PubMedCrossRef Acord M, Srinivasan AS, Cahill AM (2016) Percutaneous treatment of lymphatic malformations. Tech Vasc Interv Radiol 19:305–311PubMedCrossRef
42.
Zurück zum Zitat Shergill A, John P, Amaral JG (2012) Doxycycline sclerotherapy in children with lymphatic malformations: outcomes, complications and clinical efficacy. Pediatr Radiol 42:1080–1088PubMedCrossRef Shergill A, John P, Amaral JG (2012) Doxycycline sclerotherapy in children with lymphatic malformations: outcomes, complications and clinical efficacy. Pediatr Radiol 42:1080–1088PubMedCrossRef
43.
Zurück zum Zitat Dubois J, Thomas-Chausse F, Soulez G (2019) Common (cystic) lymphatic malformations: current knowledge and management. Tech Vasc Interv Radiol 22:100631 Dubois J, Thomas-Chausse F, Soulez G (2019) Common (cystic) lymphatic malformations: current knowledge and management. Tech Vasc Interv Radiol 22:100631
44.
Zurück zum Zitat Elluru RG, Balakrishnan K, Padua HM (2014) Lymphatic malformations: diagnosis and management. Semin Pediatr Surg 23:178–185PubMedCrossRef Elluru RG, Balakrishnan K, Padua HM (2014) Lymphatic malformations: diagnosis and management. Semin Pediatr Surg 23:178–185PubMedCrossRef
45.
Zurück zum Zitat Kulungowski AM, Patel M (2020) Lymphatic malformations. Semin Pediatr Surg 29:150971 Kulungowski AM, Patel M (2020) Lymphatic malformations. Semin Pediatr Surg 29:150971
46.
Zurück zum Zitat Bloom DC, Perkins JA, Manning SC (2004) Management of lymphatic malformations. Curr Opin Otolaryngol Head Neck Surg 12:500–504PubMedCrossRef Bloom DC, Perkins JA, Manning SC (2004) Management of lymphatic malformations. Curr Opin Otolaryngol Head Neck Surg 12:500–504PubMedCrossRef
47.
Zurück zum Zitat Kalwani NM, Rockson SG (2021) Management of lymphatic vascular malformations: a systematic review of the literature. J Vasc Surg Venous Lymphat Disord Kalwani NM, Rockson SG (2021) Management of lymphatic vascular malformations: a systematic review of the literature. J Vasc Surg Venous Lymphat Disord
49.
Zurück zum Zitat Timbang MR, Richter GT (2020) Update on extracranial arteriovenous malformations: A staged multidisciplinary approach. Semin Pediatr Surg 29:150965 Timbang MR, Richter GT (2020) Update on extracranial arteriovenous malformations: A staged multidisciplinary approach. Semin Pediatr Surg 29:150965
50.
Zurück zum Zitat Finn MC, Glowacki J, Mulliken JB (1983) Congenital vascular lesions: clinical application of a new classification. J Pediatr Surg 18:894–900PubMedCrossRef Finn MC, Glowacki J, Mulliken JB (1983) Congenital vascular lesions: clinical application of a new classification. J Pediatr Surg 18:894–900PubMedCrossRef
51.
Zurück zum Zitat Wooderchak-Donahue WL, Johnson P, McDonald J et al (2018) Expanding the clinical and molecular findings in RASA1 capillary malformation-arteriovenous malformation. Eur J Hum Genet 26:1521–1536PubMedPubMedCentralCrossRef Wooderchak-Donahue WL, Johnson P, McDonald J et al (2018) Expanding the clinical and molecular findings in RASA1 capillary malformation-arteriovenous malformation. Eur J Hum Genet 26:1521–1536PubMedPubMedCentralCrossRef
52.
Zurück zum Zitat Larralde M, Abad ME, Luna PC et al (2014) Capillary malformation-arteriovenous malformation: a clinical review of 45 patients. Int J Dermatol 53:458–461PubMedCrossRef Larralde M, Abad ME, Luna PC et al (2014) Capillary malformation-arteriovenous malformation: a clinical review of 45 patients. Int J Dermatol 53:458–461PubMedCrossRef
53.
Zurück zum Zitat Revencu N, Boon LM, Mendola A et al (2013) RASA1 mutations and associated phenotypes in 68 families with capillary malformation-arteriovenous malformation. Hum Mutat 34:1632–1641PubMedCrossRef Revencu N, Boon LM, Mendola A et al (2013) RASA1 mutations and associated phenotypes in 68 families with capillary malformation-arteriovenous malformation. Hum Mutat 34:1632–1641PubMedCrossRef
54.
Zurück zum Zitat Eng W, Hammill AM, Adams DM (2020) Overgrowth syndromes and new therapies. Semin Pediatr Surg 29:150974 Eng W, Hammill AM, Adams DM (2020) Overgrowth syndromes and new therapies. Semin Pediatr Surg 29:150974
55.
Zurück zum Zitat Banzic I, Brankovic M, Maksimovic Z, Davidovic L, Markovic M, Rancic Z (2017) Parkes Weber syndrome-Diagnostic and management paradigms: A systematic review. Phlebology 32:371–383PubMedCrossRef Banzic I, Brankovic M, Maksimovic Z, Davidovic L, Markovic M, Rancic Z (2017) Parkes Weber syndrome-Diagnostic and management paradigms: A systematic review. Phlebology 32:371–383PubMedCrossRef
57.
Zurück zum Zitat Martinez-Lopez A, Blasco-Morente G, Perez-Lopez I et al (2017) CLOVES syndrome: review of a PIK3CA-related overgrowth spectrum (PROS). Clin Genet 91:14–21PubMedCrossRef Martinez-Lopez A, Blasco-Morente G, Perez-Lopez I et al (2017) CLOVES syndrome: review of a PIK3CA-related overgrowth spectrum (PROS). Clin Genet 91:14–21PubMedCrossRef
58.
Zurück zum Zitat Alomari AI, Spencer SA, Arnold RW et al (2014) Fibro-adipose vascular anomaly: clinical-radiologic-pathologic features of a newly delineated disorder of the extremity. J Pediatr Orthop 34:109–117PubMedCrossRef Alomari AI, Spencer SA, Arnold RW et al (2014) Fibro-adipose vascular anomaly: clinical-radiologic-pathologic features of a newly delineated disorder of the extremity. J Pediatr Orthop 34:109–117PubMedCrossRef
59.
Zurück zum Zitat Wang KK, Glenn RL, Adams DM et al (2020) Surgical Management of Fibroadipose Vascular Anomaly of the Lower Extremities. J Pediatr Orthop 40:e227–e236PubMedCrossRef Wang KK, Glenn RL, Adams DM et al (2020) Surgical Management of Fibroadipose Vascular Anomaly of the Lower Extremities. J Pediatr Orthop 40:e227–e236PubMedCrossRef
60.
Zurück zum Zitat Amarneh M, Shaikh R (2020) Clinical and imaging features in fibro-adipose vascular anomaly (FAVA). Pediatr Radiol 50:380–387PubMedCrossRef Amarneh M, Shaikh R (2020) Clinical and imaging features in fibro-adipose vascular anomaly (FAVA). Pediatr Radiol 50:380–387PubMedCrossRef
61.
Zurück zum Zitat Shaikh R, Alomari AI, Kerr CL et al (2016) Cryoablation in fibro-adipose vascular anomaly (FAVA): a minimally invasive treatment option. Pediatr Radiol 46:1179–1186PubMedCrossRef Shaikh R, Alomari AI, Kerr CL et al (2016) Cryoablation in fibro-adipose vascular anomaly (FAVA): a minimally invasive treatment option. Pediatr Radiol 46:1179–1186PubMedCrossRef
63.
Zurück zum Zitat Yehia L, Keel E, Eng C (2020) The Clinical Spectrum of PTEN Mutations. Annu Rev Med 71:103–116PubMedCrossRef Yehia L, Keel E, Eng C (2020) The Clinical Spectrum of PTEN Mutations. Annu Rev Med 71:103–116PubMedCrossRef
64.
Zurück zum Zitat SmpokouP Fox VL, Tan WH (2015) PTEN hamartoma tumour syndrome: early tumourdevelopment in children. Arch Dis Child 100:34–37CrossRef SmpokouP Fox VL, Tan WH (2015) PTEN hamartoma tumour syndrome: early tumourdevelopment in children. Arch Dis Child 100:34–37CrossRef
Metadaten
Titel
Vascular anomalies: clinical perspectives
verfasst von
Joao Guilherme Amaral
Irene Lara-Corrales
Publikationsdatum
05.01.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
Pediatric Radiology / Ausgabe 2/2022
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-021-05260-z

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