Department of Dermatology, Tulane University School of Medicine, Meridian, MS 39301, USA.
Clin Dermatol. 2011 Mar-Apr;29(2):226-30. doi: 10.1016/j.clindermatol.2010.09.013.
The traditional nomenclature of vascular lesions has been enlarged and modified with the usage of newer diagnostic techniques. Digital technology has enhanced the precision of older analog tools such as Doppler flow studies. Angiograms have also more precisely delineated flow patterns to allow planned surgical intervention as an important therapeutic option. With the newer classification, it now is possible to plan and anticipate the course of lesions and medically intervene in tumors that potentially will enlarge and impinge on essential structures. Now, the routine workup will clarify if there is internal involvement (eg, liver, etc) and detect proliferative potential mandating medical or surgical intervention. Watchful waiting, the traditional approach is now changing with the newer delineation of syndromes such as PHACE (posterior fossa, hemangioma, arterial lesions, cardiac abnormalities/aortic coarctation, eye abnormalities), which mandate the fullest evaluation and, in many instances, the collaboration of multispecialty groups to treat those lesions as the data and group consensus determines.
随着新技术的应用，血管病变的传统命名法已经扩大和修改。数字技术提高了多普勒血流研究等旧模拟工具的精度。血管造影术也更精确地描绘了血流模式，从而使计划的手术干预成为一种重要的治疗选择。有了新的分类，现在可以规划和预测病变的过程，并对可能会增大并压迫重要结构的肿瘤进行药物干预。现在，常规的检查可以明确是否有内部受累（例如，肝脏等），并检测增殖潜力，从而需要进行药物或手术干预。传统的观望等待方法现在正在改变，新的综合征如 PHACE（后颅窝、血管瘤、动脉病变、心脏异常/主动脉缩窄、眼部异常）的新描述需要进行更全面的评估，并且在许多情况下需要多学科小组的协作来治疗这些病变，具体取决于数据和专家组的共识。
