Guerrero AGML, Navarro BR, Vásquez CL, Lemus VM, Reyes RVRT, Ramos MPL

Language: Spanish
References: 17
Page: 9-15
PDF size: 564.22 Kb.

ABSTRACT

Introduction. In 1982, Mullicken and Glowacky described a new classification for facial vascular anomalies in children, based in three aspects: clinical appearance, physical behavior and histological findings. They classified the vascular anomalies in two types: Hemangiomas (real tumors) and Vascular Malformations (mistakes in morphogenesis) which are divided in two: High and low flow AVMs, based on the predominant malformed vessels. Even though in hepatic vascular anomalies, the diagnoses established by most of the physicians are still based in Virchow classification, described in 1863.
Methodology. In the Hospital General de México, with the Hospital Infantil de México, “Federico Gómez”, since 1995, we have been used Mullicken´s classification for Face vascular anomalies. Based on that, we are using this classification for hepatic vascular anomalies, but we were lacking of a high flow Malformation to probe that. We report a two years old female, with angiographic characteristics of a high flow AVM
Discussion. Even though there are several reports in the world literature regarding this classification, this is the first one in Mexico. We consider that the inclusion of this patient let us complete the description.
Conclusion. Hepatic vascular anomalies have the same behavior than any other vascular anomaly in the rest of the human body, so Mullicken´s classification is useful in any vascular anomaly.

REFERENCES

1. Virchow R. Angiome in Die Krankhaften Geschwülste. Berlin: August Hirschwald, 1863; Vol. 3, p.306.

2. Mullicken JB, MD and Glowacki J, Ph.D. Hemangiomas and Vascular Malformations in infants and children: A classification based on endothelial characteristics. Plast and Reconst Surg. March 1982: 412 - 420.

3. Guerrero A. Guadalupe, Ramos Mendez P. L. Anomalías vasculares faciales: Embolización arterial como alternativa de tratamiento. Rev Mex de Radiol. Vol 3, 1996.

4. Boon LM, Burrows PE; Paltiel HJ; Mullicken JB. Hepatic Vascular Anomalies in Infancy: a twenty seven-year experience. J Pediatr, 1996 Sep, 129: 3, 346-354.

5. Burrow PE, Mullicken JB, Fellows KE, et al. Childhood hemangiomas and vascular malformations angiography differentiation. Am J Roent 1983; 141; 483.

6. Belli L, De Carlis L. Surgical Treatment of syntomatic giant hemangiomas of the liver. Surg Gynecol Obstet 1992 Jun; 174 (6): 474 - 478,

7. Bruce S, Dewne L, Devonald K. Non Invasive investigation of Infantile hepatic hemangioma. A case study. Pediatrics. Apr 95 (4): 595 -7.

8. Yasuki Yamashita MD. Cavernous Hemangioma of the Liver and Hepatic metastases of the liver, Pathologic correlation with Dynamic CT findings.

9. Moody AR; Wilson - SR. Atypical hepatic hemangioma: a suggestive sonographic morphology. Radiology. 1993 Aug; 188 (2): 413-7.

10. Leslie - DF; Johnson - CD; Johnson - CM; Ilstrup - DM; Harmsen - WS. Distinction between cavernous hemangiomas of liver and hepatic metastases on CT: Value of contrast enhancements patterns. AJRAM- J-Roentgenol. 1995 Mar; 164(3) 625-9.

11. Guerrero AG, Navarro BR, Gómez LR, Serrano LR, Ramos Mendez L, Clínica de Anomalías vasculares. Experiencia en el HGM. Anales de Radiol, Mex. 2003, 2 (1) 5-9.

12. Burrows PE, Dubois J, Kassarjian A. Pediatric hepatic vascular anomalies. Pediatr Radiol. 2000;30 (5): 336-8.

13. Boon LM, Burrows PE, Paltiel HJ, Lund DP, Ezekowitz RA, Mullicjken JB. Hepatic vascular anomalies in infancy: a twenty-seven-year experience. Am Surg. 1996; 62 (5): 356-60.

14. Iyer CP, Stanley P, Mahour GH. Hepatic hemangiomas in infants and children: a review of 30 cases. MedPediatrOncol. 2002;39(5):524-9.

15. Prokurat A, Kluge P, Chupek M, et al. Hemangioma of the liver in children: proliferating vascular tumor or congenital vascular malformation. PediatrRadiol. 2003; 33 (2):118-22.

16. Yoon SS, Charny CK, Fong Y, Jarnagin WR et al. Diagnosis, management and outcomes of 115 patients with hepatic hemangioma. J Dermatol Surg Oncol. 1978;4(11):869-73.

17. Guerrero AG, Pérez MJ, Ramos MPL. Pasta de Georam. Material embolizante permanente. Rev Mex Radiol 1997;51:123-128.