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Pang C, Abu-Hanna J, Lim CS, Brookes J, Tsui J, Hamilton G, Onuba L, Deroide F. Histopathological analysis of vascular malformations. Phlebology 2023:2683555231175022. [PMID: 37177803 DOI: 10.1177/02683555231175022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
OBJECTIVE To propose and develop a histopathological criteria to help diagnose vascular malformations. METHODS All patients who underwent surgical resection and had a confirmed histopathological diagnosis of vascular malformations from 01 March 2018-26 February 2020 were included. A criteria based on 10 parameters was developed to help diagnose vascular malformations. Discrepancies between clinical and histopathological diagnosis were evaluated. RESULTS A total of 18 cases were identified. There was a discrepancy between the clinical diagnosis and the initially reported histopathological diagnosis in 16 cases (88.9%). This was reduced to 7 (38.9%) and 6 cases (33.3%) with first and second time revised histopathological analysis using proposed criteria. CONCLUSIONS The discrepancy between clinical and histopathological diagnoses of vascular malformations has highlighted the requirement of an agreed criteria for histopathologists to help formulate their diagnosis. The proposed criteria may be used as a guide in addressing this and guide treatment and improve clinical practice.
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Affiliation(s)
- Calver Pang
- Department of Surgical Biotechnology, Division of Surgery & Interventional Science, Faculty of Medical Sciences, University College London, London, UK
- Department of Vascular Surgery, Royal Free London NHS Foundation Trust, London, UK
| | - Jeries Abu-Hanna
- Department of Vascular Surgery, Royal Free London NHS Foundation Trust, London, UK
| | - Chung Sim Lim
- Department of Surgical Biotechnology, Division of Surgery & Interventional Science, Faculty of Medical Sciences, University College London, London, UK
- Department of Vascular Surgery, Royal Free London NHS Foundation Trust, London, UK
| | - Jocelyn Brookes
- Department of Surgical Biotechnology, Division of Surgery & Interventional Science, Faculty of Medical Sciences, University College London, London, UK
- Department of Interventional Radiology, Royal Free London NHS Foundation Trust, London, UK
| | - Janice Tsui
- Department of Surgical Biotechnology, Division of Surgery & Interventional Science, Faculty of Medical Sciences, University College London, London, UK
- Department of Vascular Surgery, Royal Free London NHS Foundation Trust, London, UK
| | - George Hamilton
- Department of Surgical Biotechnology, Division of Surgery & Interventional Science, Faculty of Medical Sciences, University College London, London, UK
- Department of Vascular Surgery, Royal Free London NHS Foundation Trust, London, UK
| | - Louisa Onuba
- Department of Cellular Pathology, Royal Free London NHS Foundation Trust, London, UK
| | - Florence Deroide
- Department of Cellular Pathology, Royal Free London NHS Foundation Trust, London, UK
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Prince MR. MR Angiography of the Prostate Arteries: Benefit prior to Prostate Embolization. Radiology 2019; 291:379-380. [PMID: 30806600 DOI: 10.1148/radiol.2019190237] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Martin R Prince
- From the Department of Radiology, Weill Cornell Medical College and New York Presbyterian Hospital, 416 E 55th St, New York, NY 10022; and Columbia University College of Physicians and Surgeons, New York, NY
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Rajput S, Jain S. Is Autoverification of Reports the Need of the Hour in Clinical Chemistry Laboratory? ACTA ACUST UNITED AC 2018. [DOI: 10.5005/jp-journals-10054-0055] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Shiralkar VV, Jagtap PE, Belwalkar GJ, Nagane NS, Dhonde SP. Effect of Steam Sauna Bath on Fasting Blood Glucose Level in Healthy Adults. ACTA ACUST UNITED AC 2018. [DOI: 10.5005/jp-journals-10054-0047] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Mamlouk MD, Nicholson AD, Cooke DL, Hess CP. Tips and tricks to optimize MRI protocols for cutaneous vascular anomalies. Clin Imaging 2017. [DOI: 10.1016/j.clinimag.2017.05.019] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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Reyes C, Parnall T, Kraai T, Butros L, Fabre A, Windsor J, McKee J, Richter G. Multimodality treatment of a massive cervicothoracic lymphatic-venous malformation in a 13-year-old boy. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2017. [DOI: 10.1016/j.epsc.2017.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Partovi S, Lu Z, Vidal L, Nakamoto DA, Buethe J, Coffey M, Patel IJ. Real-time MRI-guided percutaneous sclerotherapy treatment of venous low-flow malformations in the head and neck. Phlebology 2017; 33:344-352. [PMID: 28516809 DOI: 10.1177/0268355517710110] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose This manuscript describes the technique of real-time MRI-guided sclerotherapy for low-flow venous malformations in the head and neck based on our institutional experience. Materials and methods Ethanolamine oleate is used as the sclerosant and is mixed with gadolinium for visualization during the procedure. The five procedural steps include: (I) an initial tri-plane T2-weighted sequence to visualize the lesion; (II) a T1 FSE or trueFISP sequence to assess needle placement and advancement within the lesion; (III) a tri-plane T1 FLASH sequence to monitor sclerosant injection; (IV) a T1 FSE or VIBE sequence to assess sclerosant coverage of the malformation before needle removal; (V) a post-procedural tri-plane T1 fat-saturated sequence to confirm sclerosant coverage of the lesion. Periprocedural medications typically include steroids, antibiotic prophylaxis, and non-steroidal anti-inflammatory medication. Patients are typically admitted for overnight observation. Conclusion Real-time MRI-guided sclerotherapy for low-flow venous malformations in the head and neck is effective and safe.
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Affiliation(s)
- Sasan Partovi
- 1 Department of Radiology, Section of Vascular and Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA
| | - Ziang Lu
- 1 Department of Radiology, Section of Vascular and Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA
| | - Lorenna Vidal
- 1 Department of Radiology, Section of Vascular and Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA
| | - Dean A Nakamoto
- 1 Department of Radiology, Section of Vascular and Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA
| | - Ji Buethe
- 2 Department of Radiology, Section of Vascular and Interventional Radiology, Johns Hopkins Hospital, Baltimore, MD, USA
| | - Michael Coffey
- 3 Department of Radiology, Section of Neuroradiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA
| | - Indravadan J Patel
- 1 Department of Radiology, Section of Vascular and Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA
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