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The current approach to the diagnosis of vascular anomalies of the head and neck: A pictorial essay

  • Goel, Sinny (Department of Oral Medicine and Radiology, Maulana Azad Institute of Dental Sciences) ;
  • Gupta, Swati (Department of Radiodiagnosis, Lok Nayak Jaiprakash Hospital) ;
  • Singh, Aarti (Department of Oral Medicine and Radiology, Maulana Azad Institute of Dental Sciences) ;
  • Prakash, Anjali (Department of Radiodiagnosis, Lok Nayak Jaiprakash Hospital) ;
  • Ghosh, Sujoy (Department of Oral Medicine and Radiology, Maulana Azad Institute of Dental Sciences) ;
  • Narang, Poonam (Department of Radiodiagnosis, Govind Ballabh Pant Hospital) ;
  • Gupta, Sunita (Department of Oral Medicine and Radiology, Maulana Azad Institute of Dental Sciences)
  • Received : 2014.10.29
  • Accepted : 2015.03.21
  • Published : 2015.06.30

Abstract

Throughout the years, various classifications have evolved for the diagnosis of vascular anomalies. However, it remains difficult to classify a number of such lesions. Because all hemangiomas were previously considered to involute, if a lesion with imaging and clinical characteristics of hemangioma does not involute, then there is no subclass in which to classify such a lesion, as reported in one of our cases. The recent classification proposed by the International Society for the Study of Vascular Anomalies (ISSVA, 2014) has solved this problem by including non-involuting and partially involuting hemangioma in the classification. We present here five cases of vascular anomalies and discuss their diagnosis in accordance with the ISSVA (2014) classification. A non-involuting lesion should not always be diagnosed as a vascular malformation. A non-involuting lesion can be either a hemangioma or a vascular malformation depending upon its clinicopathologic and imaging characteristics.

Keywords

References

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