surgery 5th year, 3rd lecture/part two (dr. ari raheem qader)
DESCRIPTION
The lecture has been given on May 12th, 2011 by Dr. Ari Raheem Qader.TRANSCRIPT
Cutaneous Vascular Anomalies
ByDr. Ari Zangana
There are two main categories:- Hemangiomas- Vascular malformations
They are totally different biological entities has been confirmed by immunohistochemical, radiological,
and hemodynamic studies .
Hemangiomas:Antenatal or postnatal endothelial proliferation
Hemangiomas:Grow rapidly during infancy, regress slowly during childhood,
and never appear in adulthood.
Hemangiomas: - Proliferative phase.- Involutional phase.
Proliferative phase:- Hemangioma grow rapidly during 6-8 months reach the maximum size by the end of the first year.
- Skin becomes elevated and red color.
Involutional phase:Color begins to pale and tumor fells less tense.
Hemangiomas:- Typically appear in the neonatal period.- Approximately 80% was a single tumor.- More common in female 3-5:1.- Incidence in white infant is 10%-20%.- Involution is complete in 50% of children by age 5 years.
- Normal skin is restored in about 50% .
Clinical types of hemangiomas:
New Terminology Old Terminology
- Superficial - Capillary- deep -Strawberry
Vascular malformations:
Are errors of embryonic developmentUsually obvious at birthNever regress and often expand
Vascular malformations:
Subcategorized based on predominant channel type and flow characteristics:
- Slow flow- Fast flow
Slow flow:- Capillary and telangiectases- Lymphatic malformation -Venous malformation
Fast flow:
- Arterial malformation- Arteriovenous malformation
Vascular malformations:
New terminology Old terminology Capillary Port wineVenous CavernousLymphatic Lymphangioma Cystic hygroma
Capillary Malformation
Venous Malformation
Arterial malformation