Bhari Neetu, Agarwal Akash, Asritha C V V, Panda Maitreyee, Mahajan Rahul
Department of Dermatology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Department of Dermatology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Indian Dermatol Online J. 2024 Apr 23;15(3):415-430. doi: 10.4103/idoj.idoj_633_23. eCollection 2024 May-Jun.
Vascular malformations are intricate anomalies of the circulatory system, presenting a diverse array of clinical manifestations, and posing significant challenges in diagnosis and treatment. The pathogenesis of vascular malformations is explored through the lens of genetic and molecular mechanisms, shedding light on the pivotal role of somatic mutations and dysregulated signaling pathways. Clinical presentations of vascular malformations are widely variable, ranging from cosmetic concerns to life-threatening complications. The utility of imaging techniques, such as magnetic resonance imaging (MRI), computed tomography (CT), and angiography, are discussed in detail, emphasizing their role in precise delineation and characterization. Therapeutic strategies for vascular malformations are multifaceted, considering factors such as lesion size, location, potential complications, and patient-specific factors. Traditional interventions, including surgical excision and embolization, are appraised alongside emerging approaches like targeted molecular therapies and minimally invasive procedures. The manuscript underscores the need for an individualized treatment approach, optimizing outcomes while minimizing risks and complications. In summation, this manuscript offers a comprehensive analysis of vascular malformations, encompassing their underlying pathogenesis, clinical nuances, diagnostic methods, and therapeutic considerations. By synthesizing current knowledge and highlighting gaps in understanding, this review serves as a valuable resource for clinicians, researchers, and medical practitioners, fostering an enhanced comprehension of vascular malformations and paving the way for improved patient care and innovative research endeavors.
血管畸形是循环系统的复杂异常,表现出多种多样的临床表现,在诊断和治疗方面带来重大挑战。通过遗传和分子机制的视角探索血管畸形的发病机制,揭示体细胞突变和信号通路失调的关键作用。血管畸形的临床表现差异很大,从美容问题到危及生命的并发症不等。详细讨论了成像技术的实用性,如磁共振成像(MRI)、计算机断层扫描(CT)和血管造影,强调了它们在精确描绘和特征描述中的作用。血管畸形的治疗策略是多方面的,考虑病变大小、位置、潜在并发症和患者特定因素等。传统干预措施,包括手术切除和栓塞,与靶向分子治疗和微创手术等新兴方法一起进行评估。该手稿强调了个性化治疗方法的必要性,在将风险和并发症降至最低的同时优化治疗效果。总之,该手稿对血管畸形进行了全面分析,包括其潜在发病机制、临床细微差别、诊断方法和治疗考虑因素。通过综合当前知识并突出理解上的差距,本综述为临床医生、研究人员和医学从业者提供了宝贵资源,促进对血管畸形的深入理解,并为改善患者护理和创新研究努力铺平道路。