Download Color Atlas of Vascular Tumors and Vascular Malformations by Odile Enjolras PDF

By Odile Enjolras

Hemangiomas and superficial vascular malformations are disfiguring birthmarks that could happen over sixty five% of a kid's physique. This atlas will specialise in the class, multidisciplinary strategy, attractiveness and identity, and healing procedures for this classification of pathology. Vascular malformations, composed of malformed vessels, by no means regress and infrequently extend swiftly. They take place in any physique half together with viscera. They reason beauty difficulties, sensible incapacity and will be existence threatening and require radiologic imaging and pathology to acknowledge and practice differential prognosis on quite a few vascular anomalies. additionally, new concepts, together with molecular biology strategies, have developed permitting much less invasive and a more suitable method of analysis and remedy.

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Extra resources for Color Atlas of Vascular Tumors and Vascular Malformations

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Rapid shrinkage of the bilateral tumor occurred, resulting in lax skin with widespread scars. The involuted stage was reached at 14 months of age (c) and surgical procedures (four facelift procedures and a neck CO2 laser resurfacing) began at 24 months of age. At 7 years (d) she is a bright happy girl who copes with the residual leucomelanodermic scars on her neck and lower face, undergoing various procedures of laser treatment. 53 INFANTILE HEMANGIOMA (IH) Clinical Aspects, Investigations, and Treatment This infant was referred at 2 months of age for dyspnea and a diffuse bright red, plaque-type hemifacial and cervical IH, grown on a congenital pseudo port-wine stain; it closed her right eye and ulcerated her lips and nose margins (columella necrosis).

After involution many children are left with some lip discoloration and lip distortion requiring surgical management. A large IH of the lower lip creates severe expansion (d), both because of true proliferation and because of the weight of the lip hanging down. During both the proliferating and involuting phases the lips are dry because the normal close contact is missing; this facilitates cracking, ulceration, pain, and bleeding. Frequent application of vaseline ointment is recommended to maintain some moisture on the lips and soothe the fissures.

It was particularly rapidly successful as first-line therapy in a newborn affected with multifocal liver IH and congestive heart failure (35). Adams also reported good results in patients with complicated superficial or visceral IH who received VCR because of significant side-effects of their GS treatment inability to diminish GS, or no response to GS (1). Short-term side-effects reported with VCR included constipation and abdominal pain, worsening of esophageal reflux ileus, peripheral neuropathy, alopecia, hematological toxicity; long-term side-effects are very limited.

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