Document Detail

Management of cutaneous juvenile hemangiomas.
MedLine Citation:
PMID:  18286434     Owner:  NLM     Status:  MEDLINE    
Past descriptions of vascular lesions often confused vascular malformations and hemangiomas using interchangeable definitions which led to inappropriate treatment and inconsistency in the medical literature. The work of Mulliken and Glowacki systematically delineated the difference between hemangiomas and the multiple varieties of vascular malformations. Hemangiomas are in fact as the suffix "oma" suggests true tumors exhibiting cellular proliferation on histology. Additionally, treatment has been clouded by numerous reports in the literature of near universal complete spontaneous resolution and conversely arguments that every lesion demands treatment. More recently, thoughtful studies of the natural course of hemangiomas have been completed, algorithms for intervention versus observation proposed, and effective safe treatment plans devised. The following article will be presented in two sections. The first section will review the diagnosis and natural history of hemangiomas as appreciated in modern literature and compare this to a review of historical articles. This information will then be used to describe a rational and thoughtful algorithm for observation or intervention and recommend appropriate treatment options. Special emphasis will be given to surgical technique and several cases of late involuting hemangiomas of the face will be presented.
Stephen P Smith; Edward D Buckingham; Edwin F Williams
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Facial plastic surgery : FPS     Volume:  24     ISSN:  0736-6825     ISO Abbreviation:  Facial Plast Surg     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-02-20     Completed Date:  2008-05-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405303     Medline TA:  Facial Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  50-64     Citation Subset:  D    
Smith Facial Plastics, Dublin, Ohio, USA.
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MeSH Terms
Age Factors
Disease Progression
Hemangioma / diagnosis,  physiopathology,  surgery*
Neoplasm Regression, Spontaneous
Patient Care Planning
Skin Neoplasms / diagnosis,  physiopathology,  surgery

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