Moneghini L, Sangiorgio V, Tosi D, Colletti G, Melchiorre F, Baraldini V, Graziani D, Alfano R M, Vercellio G, Bulfamante G
Unit of Human Pathology, Department of Health Sciences, San Paolo Hospital Medical School, University of Milano, Italy.
Maxillo-facial Surgery Department, Department of Health Sciences, San Paolo Hospital Medical School, University of Milano, Italy.
Pathologica. 2017 Mar;109(1):47-59.
Vascular anomalies represent a heterogeneous group of pathologies of the circulatory system that can affect any type of hematic and /or lymphatic vessel of different diameter or anatomic site. The extreme variability of tissue types and districts involved by these lesions determines a wide heterogeneity of clinical manifestations, resulting in involvement of different medical expertise. In this context, a commonly agreed terminology is crucial for the appropriate evaluation and multidisciplinary management of patients. The ISSVA Classification that has its roots in the previous Classification of Mulliken and Glowacky distinguishes vascular anomalies in two main groups: vascular tumors and vascular malformations. In head and neck, where vascular anomalies are the most common benign lesions of infancy and childhood, correct diagnosis with the use of unequivocal terminology is more crucial for treatment considering the relevance of structures that can be involved. The aim of this work has been to clarify information and knowledges currently available in the field of vascular anomalies. Referring to ISSVA Classification, clinico- histopathological aspects of each entity have been elucidated.
血管异常是一组异质性的循环系统疾病，可影响任何类型、不同直径或解剖部位的血管和/或淋巴管。这些病变所涉及的组织类型和区域具有极大的变异性，决定了临床表现的广泛异质性，从而需要不同的医学专业知识。在这种情况下，一个普遍认可的术语对于患者的恰当评估和多学科管理至关重要。起源于先前穆利肯和格洛瓦茨基分类的国际血管异常研究学会（ISSVA）分类将血管异常分为两大类：血管肿瘤和血管畸形。在头颈部，血管异常是婴幼儿和儿童最常见的良性病变，考虑到可能受累结构的相关性，使用明确的术语进行正确诊断对治疗更为关键。这项工作的目的是澄清血管异常领域目前可用的信息和知识。参照ISSVA分类，对每个实体的临床组织病理学方面进行了阐述。
