Summary
The accuracy of preoperative and histopathological diagnosis of vascular tumours and tumour-like lesions was studied in 130 patients and 185 specimens. A correct clinical diagnosis was made before operation in 66% of the patients, whereas in the others a microscopic examination was necessary to determine the exact nature of the lesion. The histological picture was retrospectively correlated with all available clinical information and the original histopathological diagnosis, and re-evaluated: it was correct in 53%, imprecise in 32% and false in 15% of the cases. The microscopic diagnostic criteria for the different types of vascular lesions are discussed and a revised classification is presented. The study shows that close cooperation between the pathologist and the clinician is necessary for obtaining an accurate diagnosis of vascular tumours and tumour-like lesions.
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References
André JM (1973) Les dysplasies vasculaires systématisées. Expansion Scientifique Française, Paris
Ashley DJB (1978) Tumours of vasoformative tissue. In: Evans' histological appearances of tumours, 3rd edn. Churchill Livingstone, Edinburgh New York, pp 66–90
Gorlin RJ, Furaro R, Benton JW (1960) Multiple glomus tumours of the pseudocavernous hemangioma type. Arch Dermatol 82:776
Imperial R, Helwig EB (1967) Angiokeratoma. Arch Dermatol 95:166
International Histological Classification of Tumours (1969) Enzinger FM (ed) WHO, Geneva, fasc. III, pp 74–77
Kämpfer R, Hundeiker M (1977) Fehldiagnosen bei Angiomen. Z Hautkr 52:1083
Lever W, Schaumburg-Lever G (1975) Histopathology of the skin, 5th edn. Lippincott, Philadelphia, pp 591–617
Lightstone AC, Kopf AW, Garfinkel L (1965) Diagnostic accuracy — a new approach to its evaluation. Arch Dermatol 91:497
Malan E, Puglionisi A (1965) Congenital angiodysplasias of the extremities. (Note II: Arterial, arterial and venous and hemolymphatic dysplasias). J Cardiovasc Surg 6:255
Matthews DN (1953–1954) Treatment of hemangiomata. Br J Plast Surg 6:83
Mulliken JB, Glowacki J (1982) Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg 69:412
Niechajev IA (1982) Multiple glomus tumours. Scand J Plast Reconstr Surg 16:185
Niechajev IA, Hansson LI (1982) Maffucci's syndrome. Scand J Plast Reconstr Surg 16:215
Niechajev IA, Karlsson S (1982) Vascular tumours of the hand. Scand J Plast Reconstr Surg 16:67
Niechajev IA, Karlsson S (1982) Angiomatosis osteohypotrophica. Scand J Plast Reconstr Surg 16:77
Niechajev IA, Lindell SE, Karlsson S (1983) Angiography, thermography and other circulation tests in vascular tumours of the hand. Vasc Surg 17:226
Niechajev IA, Sternby NH (In print) Cutaneous keratotic hemangioma. Scand J Plast Reconstr Surg
Schnyder UW (1954) Zur Klinik und Histologie der Angioma. 2 Mitteilung: Naevi teleangiectatici. Arch Dermatol 198:75
Stout AP, Lattes R (1967) Atlas of tumor pathology. Armed Forces Institute of Pathology, Washington, DC, 2nd series, fasc. 1, pp 67–83
Thompson HG (1982) Hemangiomas and vascular malformations in the infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg 69:421
Weisman P (1959) Blood vessel tumours of the hand. Plast Reconstr Surg 23:175
Williams HB (1980) Vascular neoplasms. Clin Plast Surg 7:397
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Niechajev, I.A., Sternby, N.H. Diagnostic accuracy and pathology of vascular tumours and tumour-like lesions. Chir Plastica 7, 153–168 (1983). https://doi.org/10.1007/BF00571703
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DOI: https://doi.org/10.1007/BF00571703