Giese Rachel A, Valero Cristina, Shah Jatin P
Department of Otolaryngology-Head and Neck Surgery, University of Texas Rio Grande Valley School of Medicine, Edinburg, Texas, USA.
Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
J Oral Pathol Med. 2022 Nov;51(10):854-859. doi: 10.1111/jop.13302. Epub 2022 Jun 3.
Vascular tumors and malformations present a diagnostic and therapeutic challenge to many physicians. Because these lesions are rare, few surgeons have enough experience with them other than those practicing in tertiary vascular anomaly treatment centers. Some patients may have been misdiagnosed or mistreated during childhood and present in adult age with either recurrence or with an untreated lesion. Ideally, a multidisciplinary treatment team should be involved to discuss management with the patient including specialists in surgery, interventional radiology, pathology, hematology, genetics, and dermatology. As our understanding of the pathogenesis of these lesions grows, novel therapies are being employed which may decrease the need for surgery. Nevertheless, some lesions need definitive treatment with surgery. Improving understanding of the surgical management of vascular anomalies will improve cosmetic and functional outcomes for patients.
血管肿瘤和畸形给许多医生带来了诊断和治疗方面的挑战。由于这些病变较为罕见，除了在三级血管异常治疗中心工作的外科医生外，很少有外科医生对其有足够的经验。一些患者在儿童时期可能被误诊或误治，成年后出现复发或病变未得到治疗的情况。理想情况下，应组建一个多学科治疗团队，与患者讨论治疗方案，团队成员包括外科、介入放射学、病理学、血液学、遗传学和皮肤科等领域的专家。随着我们对这些病变发病机制的认识不断加深，正在采用新的治疗方法，这可能会减少手术需求。然而，一些病变仍需要通过手术进行明确治疗。提高对血管异常手术管理的认识将改善患者的美容和功能预后。
