Anatomo-clinic group of "angiomas", constituted by very varied vascular tumors and malformations, had been particularly studied during the last decades.

A new classification, allowing an international common language, is born . Now it's important that surgeons, dermatologists, radiologists, nurses) use this new classification.

Angioma group is subdivided in:

  • Vascular malformations (simple, complex or combinated):
    • Capillary malformations:
      • Plane angioma essentially (popular "strawberry mark").
      • Sturge-Weber syndrome.
    • Lymphatic malformations:
      • Lymphangiomas, microkystics, macrokystics ou mixed.
    • Veinous malformations :
      • Head and neck ( lips, eyelids, neck and mouth).
      • Limbs (articular or not).
    • Arterio-veinous malformations :
      • Varied , often located on head and neck, difficult to manage.
  • Tumors
    • Hémangiomas.
    • Others

Possibilities of treatment are varied:

  • Plane angiomas are essentially treated by specialized dermatologist with repeated sessions of laser. Sometimes, bone associated deformations are treated with orthopedic surgery. Sturge-Weber syndrome, combining a facial plane angioma, and a meningeal localization, requires a neurologic supervision, and often an antiepilectic medical treatment.
  • Macrokystics lymphangiomas are treated with percutaneous sclerosis, or with surgery. Microkystics forms are treated with surgery or laser YAG or cryosurgery.
  • Veinous malformations are treated with sclerotherapy, injections of Ethibloc® or surgery.
  • Arterio-veinous malformations needs injections of Histoacryl®,before surgery.An attentive supervision is necessary because relapses are not rare.
  • Hemangiomas will involve spontaneously and will need surgery only if involvement is not complete, or if residual skin is inesthetic. One early surgical operation is necessary for very inesthetic lesions, for angiomas blocking the view or nutrition, for angiomas which distort nose, ear or any bone structure.

 

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