Skip to main content

Ultrasound of Common Vascular Lesions

  • Chapter
  • First Online:
Atlas of Dermatologic Ultrasound

Abstract

This chapter reviews the ultrasonographic appearance of the most common vascular anomalies with particular emphasis on the patterns of the lesions and considering the last ISSVA classification.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. International Society for the Study of Vascular Anomalies. ISSVA classification for vascular anomalies (Approved at the 20th ISSVA Workshop, Melbourne, April 2014). http://www.issva.org/UserFiles/file/Classifications-2014-Final.pdf. Accessed 4 Dec 2017.

  2. Jahnke MN. Vascular lesions. Pediatr Ann. 2016;45:e299–305.

    Article  PubMed  Google Scholar 

  3. Garzon MC, Weitz N, Powell J. Vascular anomalies: differential diagnosis and mimickers. Semin Cutan Med Surg. 2016;35:170–6.

    Article  PubMed  Google Scholar 

  4. Smith CJF, Friedlander SF, Guma M, Kavanaugh A, Chambers CD. Infantile hemangiomas: an updated review on risk factors, pathogenesis, and treatment. Birth Defects Res. 2017;109:809–15.

    Article  CAS  PubMed  Google Scholar 

  5. Hoeger PH, Colmenero I. Vascular tumours in infants. Part I: benign vascular tumours other than infantile haemangioma. Br J Dermatol. 2014;171:466–73.

    Article  CAS  PubMed  Google Scholar 

  6. Merrow AC, Gupta A, Patel MN, Adams DM. 2014 revised classification of vascular lesions from the international society for the study of vascular anomalies: radiologic-pathologic update. Radiographics. 2016;36:1494–516.

    Article  PubMed  Google Scholar 

  7. Miller DD, Gupta A. Histopathology of vascular anomalies: update based on the revised 2014 ISSVA classification. Semin Cutan Med Surg. 2016;35:137–46.

    Article  PubMed  Google Scholar 

  8. Steiner JE, Drolet BA. Classification of vascular anomalies: an update. Semin Interv Radiol. 2017;34:225–32.

    Article  Google Scholar 

  9. Wortsman X. Common applications of dermatologic sonography. J Ultrasound Med. 2012;31:97–111.

    Article  PubMed  Google Scholar 

  10. Wortsman X. Ultrasound in dermatology: why, how and when? Semin Ultrasound CT MR. 2013;34:177–95.

    Article  PubMed  Google Scholar 

  11. Kutz AM, Aranibar L, Lobos N, Wortsman X. Color Doppler ultrasound follow-up of infantile hemangiomas and peripheral vascularity in patients treated with propranolol. Pediatr Dermatol. 2015;32:468–75.

    Article  PubMed  Google Scholar 

  12. Wortsman X, Carreño L, Morales C. Cutaneous vascular tumors. In: Wortsman X, Jemec GBE, editors. Dermatologic ultrasound with clinical and histologic correlations. New York: Springer; 2013. p. 235–48.

    Chapter  Google Scholar 

  13. Peer S, Wortsman X. Hemangiomas and vascular malformations. In: Wortsman X, Jemec GBE, editors. Dermatologic ultrasound with clinical and histologic correlations. New York: Springer; 2013. p. 183–234.

    Chapter  Google Scholar 

  14. Wortsman X, Alfageme F, Roustan G, Arias-Santiago S, Martorell A, Catalano O, et al. Guidelines for performing dermatologic ultrasound examinations by the DERMUS group. J Ultrasound Med. 2016;35:577–80.

    Article  PubMed  Google Scholar 

  15. He L, Huang G. Spectral Doppler ultrasound for predicting long-term response to topical timolol in children with infantile hemangioma. J Clin Ultrasound. 2017;45:480–7.

    Article  PubMed  Google Scholar 

  16. García-Martínez FJ, Muñoz-Garza FZ, Hernández-Martín A. [Ultrasound in pediatric dermatology]. Actas Dermosifiliogr. 2015;106(Suppl 1):76–86.

    Google Scholar 

  17. Amouri M, Mesrati H, Chaaben H, Masmoudi A, Mseddi M, Turki H. Congenital hemangioma. Cutis. 2017;99:E31–3.

    PubMed  Google Scholar 

  18. Wortsman X, Wortsman J, Aranibar L. Congenital diseases of the skin. In: Wortsman X, Jemec GBE, editors. Dermatologic ultrasound with clinical and histologic correlations. New York: Springer; 2013. p. 39–72.

    Chapter  Google Scholar 

  19. Chen CP, Chen CY, Chang TY, Yang HY, Chen YN, Chen SW, Wang W. Prenatal imaging findings of a rapidly involuting congenital hemangioma (RICH) over right flank in a fetus with a favorable outcome. Taiwan J Obstet Gynecol. 2016;55:745–7.

    Article  PubMed  Google Scholar 

  20. Koo MG, Lee SH, Han SE. Pyogenic granuloma: a retrospective analysis of cases treated over a 10-year. Arch Craniofac Surg. 2017;18:16–20.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Silva-Feistner M, Ortiz E, Alvarez-Véliz S, Wortsman X. Amelanotic subungual melanoma mimicking telangiectatic granuloma: clinical, histologic, and radiologic correlations. Actas Dermosifiliogr. 2017;108:785–7.

    Article  CAS  PubMed  Google Scholar 

  22. Croteau SE, Gupta D. The clinical spectrum of kaposiform hemangioendothelioma and tufted angioma. Semin Cutan Med Surg. 2016;35:147–52.

    Article  PubMed  Google Scholar 

  23. Ryu YJ, Choi YH, Cheon JE, Kim WS, Kim IO, Park JE, Kim YJ. Imaging findings of kaposiform hemangioendothelioma in children. Eur J Radiol. 2017;86:198–205.

    Article  PubMed  Google Scholar 

  24. Colmenero I, Hoeger PH. Vascular tumours in infants. Part II: vascular tumours of intermediate malignancy [corrected] and malignant tumours. Br J Dermatol. 2014;171:474–84.

    Article  CAS  PubMed  Google Scholar 

  25. Nozaki T, Matsusako M, Mimura H, Osuga K, Matsui M, Eto H, et al. Imaging of vascular tumors with an emphasis on ISSVA classification. Jpn J Radiol. 2013;31:775–85.

    Article  CAS  PubMed  Google Scholar 

  26. Gaballah AH, Jensen CT, Palmquist S, Pickhardt PJ, Duran A, Broering G, Elsayes KM. Angiosarcoma: clinical and imaging features from head to toe. Br J Radiol. 2017;90:20170039.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Sun RW, Tuchin VV, Zharov VP, Galanzha EI, Richter GT. Current status, pitfalls and future directions in the diagnosis and therapy of lymphatic malformation. J Biophotonics. 2017. https://doi.org/10.1002/jbio.201700124. [Epub ahead of print].

  28. Acord M, Srinivasan AS, Cahill AM. Percutaneous treatment of lymphatic malformations. Tech Vasc Interv Radiol. 2016;19:305–11.

    Article  PubMed  Google Scholar 

  29. Lidove O, Jaussaud R, Aractingi S. Dermatological and soft-tissue manifestations of Fabry disease: characteristics and response to enzyme replacement therapy. In: Mehta A, Beck M, Sunder-Plassmann G, editors. Fabry disease: perspectives from 5 years of FOS, chap. 24. Oxford: Oxford PharmaGenesis; 2006.

    Google Scholar 

  30. Whitworth WW, Hick RW, Nelson KC, Sidhu-Malik NK. Cerebral cavernous malformations associated with cutaneous angiokeratomas and hemangiomas. Cutis. 2015;96:329–32.

    PubMed  Google Scholar 

  31. Singh J, Sharma P, Tandon S, Sinha S. Multiple verrucous hemangiomas: a case report with new therapeutic insight. Indian Dermatol Online J. 2017;8:254–6.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ximena Wortsman MD .

4.1 Electronic Supplementary Material

Infantile hemangioma in proliferative phase, with sequence that shows a summary of the protocol for studying hemangiomas (see Fig. 4.2) (MP4 2117 kb)

Hemangioma in proliferative phase. Echoangiogram (B-flow; General Electric Health Systems; Milwaukee, WI, USA) demonstrates high presence of vascularity within the lesion (see Fig. 4.3) (MP4 3112 kb)

Hemangioma in proliferative phase. Echoangiogram (B-flow; General Electric Health Systems) shows hypervascularity within the lesion (see Fig. 4.4) (MP4 3157 kb)

Hemangioma in partial regression phase (see Fig. 4.5c) (MP4 3455 kb)

Rapidly involuting congenital hemangioma (RICH) Echoangiogram (B-flow; General Electric Health Systems) of the case showed in Fig. 4.8 demonstrates prominent lesional vascularity (MP4 3062 kb)

Rapidly involuting congenital hemangioma (RICH) follow up at 3 months of the case of Fig 4.9 and Video 4.5. Echoangiogram (B-flow; General Electric Health Systems) demonstrates a slight decrease of the vascularity (MP4 3011 kb)

Rapidly involuting congenital hemangioma (RICH) follow up at 6 months of the case of Fig. 4.9 and Videos 4.5 and 4.6 Echoangiogram (B-flow; General Electric Health Systems) shows a prominent decrease of the vascularity (MP4 3166 kb)

Non-involuting congenital hemangioma (NICH) basal study at 3 months. Echoangiogram (B-flow; General Electric Health Systems) of the case showed in Fig. 4.11 demonstrates thick and prominent vessels within the lesion (MP4 2927 kb)

Non-involuting congenital hemangioma (NICH) follow up at 1 year and 6 months. Echoangiogram (B-flow; General Electric Health Systems) of the same case showed in Fig. 4.12 with a basal study presented in Fig. 4.11 and Video 4.8). Similar amount and morphology of the vascularity in comparison with the previous examination (MP4 3258 kb)

Telangiectasic granuloma. Echoangiogram (B-flow; General Electric Health Systems) of the case showed in Fig. 4.13 shows prominent vascularity within the lesion (MP4 3045 kb)

High-flow arterial vascular malformation. Color Dopppler ultrasound of the case showed in Fig. 4.16 (right temporal region of the scalp) (MP4 1533 kb)

High-flow arterial vascular malformation echoangiogram (B-flow; General Electric Health Systems) of the case showed in Fig. 4.17). Notice the hypervascularity of the nasal lesion (MP4 3132 kb)

High-flow arterio-venous vascular malformation. Echoangiogram (B-flow; General Electric Health Systems) of the case showed in Fig. 4.18). Prominent vessels are seen the lesional area located in the right frontal region (MP4 3227 kb)

Low-flow venous vascular malformation. Color Doppler ultrasound of the case presented in Fig. 4.20. Notice the compression maneuver with the probe that easily compresses the venous vessels of the malformation (MP4 3422 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Wortsman, X. (2018). Ultrasound of Common Vascular Lesions. In: Atlas of Dermatologic Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-319-89614-4_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-89614-4_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-89613-7

  • Online ISBN: 978-3-319-89614-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics