Vascular Anomalies in Children – a New Classification System, Natural History and Treatment

Overview

Vascular lesions are common in infants and children, but their precise classification can be confusing. In 1996, the International Society for the Study of Vascular Anomalies (ISSVA) approved a classification system modified from the scheme originally proposed by Mulliken and Glowacki. Their aim was to establish a common language for the many different medical specialists involved in the management of these lesions. Two groups of vascular anomalies are delineated: vascular tumors (of which hemangioma of infancy is the most common) and vascular malformations.

The classification was based on differences in the cellular kinetics and natural history of these lesions. The authors summarize the classification, pathogenesis, management, treatment and prognosis of vascular anomalies.

Key words:
vascular anomalies, classification, pathogenesis, management, prognosis, therapy