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Review article


Imaging spectrum of hemangioma and vascular malformations of the head and neck in children and adolescents.

Venkatraman BhatPaul C SalinsVarun Bhat
Department of Radiology, Craniofacial Surgery Narayana Health, Multispeciality Hospital and Mazumdar Shaw Cancer Centre, Bangalore, Karnataka, India
Date of Submission: 01-Jan-2014, Date of Acceptance: 06-Feb-2014, Date of Web Publication: 24-Apr-2014.
Corresponding Author:
Corresponding Author

Venkatraman Bhat

309, Greenwoods Apartment, Royal Gardenia, Bommasandra, Bangalore - 560 099, Karnataka, India.
E-mail: bvenkatraman@gmail.com

Corresponding Author:
Corresponding Author

Venkatraman Bhat

309, Greenwoods Apartment, Royal Gardenia, Bommasandra, Bangalore - 560 099, Karnataka, India.
E-mail: bvenkatraman@gmail.com

DOI: 10.4103/2156-7514.135179 Facebook Twitter Google Linkedin

ABSTRACT


Vascular lesions of the head and neck region in children constitute an interesting group of lesions that benefit immensely from imaging techniques. Imaging is essential for identification, characterization, and delineation of the extent of lesion and subsequent follow-up. Infantile hemangiomas, which are vascular tumors with a specific evolution pattern, constitute a large majority of these lesions. On the other hand, there are vascular malformations, which are anomalies of the vascular system, consisting of a range of vascular tissues associated with various flow patterns. When diagnosis is clinically evident, imaging should utilize non-radiation techniques and address the issues necessary for management. Timing and interpretation of imaging methods employed in assessing childhood vascular lesion should also take into consideration the natural history so that imaging is performed to address a specific question. This review highlights the typical appearance of a hemangioma and a group of vascular malformations of the head and neck. For descriptive purpose, an attempt has been made to group lesions into specific subsites, with each one having specific clinical significance. Cases included illustrate the spectrum of the disease ranging from classical form in young children to slightly differing manifestations of the disease in adolescents and adults. The illustrations also provide a novel way of presenting image data using volume-rendering techniques of 3D data. Multi-modality team interaction and management strategies of these complex lesions are also emphasized.
Keywords: Hemangioma, Head And Neck, Imaging, Vascular Malformation, Venous Malformation

Cited in 10 Documents

  1. Anna Kociemba, Katarzyna Karmelita-Katulska, Marek Stajgis, Grzegorz Oszkinis and Małgorzata Pyda (2016) Distinguishing high-flow from low-flow vascular malformations using maximum intensity projection images in dynamic magnetic resonance angiography – comparison to other MR-based techniques. Acta Radiol 57(5):565. doi: 10.1177/0284185115615005
  2. Marjolein H.G. Dremmen, Aylin Tekes, Samantha Mueller, Donna Seyfert, David E. Tunkel and Thierry A.G.M. Huisman (2016) Lumps and Bumps of the Neck in Children-Neuroimaging of Congenital and Acquired Lesions. J Neuroimaging 26(6):562. doi: 10.1111/jon.12376
  3. Nicola Stagnaro, Francesca Rizzo, Michele Torre, Giuseppe Cittadini and GianMichele Magnano (2017) Multimodality imaging of pediatric airways disease: indication and technique. Radiol med 122(6):419. doi: 10.1007/s11547-017-0737-7
  4. Saurabh Varshney, Manu Malhotra, Navjot Kaur and Priyanka Gairola (2015) Capillary Haemangioma: A Rare Vascular Tumour of the External Auditory Canal. Indian J Otolaryngol Head Neck Surg 67(4):417. doi: 10.1007/s12070-015-0822-y
  5. Matthew A. Zapala, Victor M. Ho-Fung and Edward Y. Lee (2017) Thoracic Neoplasms in Children. Radiologic Clinics of North America 55(4):657. doi: 10.1016/j.rcl.2017.02.008
  6. Jie He, Hanguang Zhu, Chunye Zhang, Yanan Wang, Jiawei Zheng and Weiliu Qiu (2017) Role of fine needle aspiration cytology in the differential diagnosis of vascular anomalies from other lesions in the head and neck region. Phlebology 32(1):34. doi: 10.1177/0268355515625003
  7. Lisa Murphy, Paul French, Aoife Waters, W. Andrew Clement and Haytham Kubba (2016) Dorsal midline tongue masses in children. International Journal of Pediatric Otorhinolaryngology Extra 13:40. doi: 10.1016/j.pedex.2016.04.001
  8. Celeste Z. Nagy, Sarah Cantrell, Xin Wu and C. Arturo Solares (2019) Vascular malformation of the sphenoid and temporal bone: A diagnostic dilemma. American Journal of Otolaryngology 40(2):334. doi: 10.1016/j.amjoto.2018.09.013
  9. Jed Poll, Michael T. Yen and Suresh K. Mukherji (2016) Vascular Lesions of the Orbit and Face. (Chapter 2):11. doi: 10.1007/978-3-319-29704-0_2
  10. Eugenio Rimondi, Andreas F. Mavrogenis, Costantino Errani, Teresa Calabrò, Alberto Bazzocchi, Giancarlo Facchini, Salvatore Donatiello, Paolo Spinnato, Daniel Vanel, Ugo Albisinni and Patrizia Pelotti (2018) Biopsy is not necessary for the diagnosis of soft tissue hemangiomas. Radiol med 123(7):538. doi: 10.1007/s11547-018-0862-y

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