Académique Documents
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Tumor vascular benigno, las lesiones mas comunes en cabeza y cuello, generalmente asintomticas
Aarn H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of the Head and Neck: A Simplified ApproachNeuroimag Clin N Am 21 (2011) 641658
Primer caso Liston 1843 Kasabach & Merrit 1940 tejido blando Mulliken & Glowaki 1982 verdadera neoplasia Douglas Marchuk 2001 estadios de el Hemangioma Danielle A Katz proliferacin anormal de de vasos sanguneos
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658
Tumor Infantil mas comn en cabeza y cuello. 1-2 % neonatos 5:1 nias N 10-12% en raza blanca y mayor en nacidos prematuros 80% lesin solitaria 20% mas de 5 lesiones Edad avanzada; placenta previa
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658 Larry D. Hartzell, MD, Lisa M. Buckmiller, MD Current Management of Infantile Hemangiomas and Their Common Associated Conditions Otolaryngol Clin N Am 45 (2012) 545556
Blanda a la palpacin
NAumento de Temperatura
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658 Larry D. Hartzell, MD, Lisa M. Buckmiller, MD Current Management of Infantile Hemangiomas and Their Common Associated Conditions Otolaryngol Clin N Am 45 (2012) 545556
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658 Larry D. Hartzell, MD, Lisa M. Buckmiller, MD Current Management of Infantile Hemangiomas and Their Common Associated Conditions Otolaryngol Clin N Am 45 (2012) 545556
PROLIFERATIVO 4-18meses
INACTIVO
Disminucin de la celularidad
FASE PROLIFERATIVA Dermis y tejido celular subcutneo compuesto por lbulos y capilares de gran tamao Clulas endoteliales de gran tamao Mnimo estroma intervascular Pocos fibroblastos Gran actividad mittica
FASE INVOLUCION Disminucin en el numero de capilares Aplanamiento de las clulas endoteliales Disminucin de la actividad mittica Aumento del estroma fibroso Aumento de contenido fibrograso
North
GLUT 1
NICH
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658
MIXTO
60 % Cabeza y Cuello
FRENTE MEJILLAS ORBITA/PERIORBITA LABIOS CAVIDAD NASAL LARINGE ESPACIOS PROFUNDOS CUELLO
20 % Tronco
15 % Extremidades
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658
Kristen E. Holland, MDa,*, Beth A. Drolet, MDb Infantile Hemangioma, Pediatr Clin N Am 57 (2010) 10691083
24%
Ulceracin
Patrn mixto
Dolor infeccin sangrado cicatriz
Kristen E. Holland, MDa,*, Beth A. Drolet, MDb Infantile Hemangioma, Pediatr Clin N Am 57 (2010) 10691083
Kristen E. Holland, MDa,*, Beth A. Drolet, MDb Infantile Hemangioma, Pediatr Clin N Am 57 (2010) 10691083
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658
Implicaciones estticas
Deformidad facial
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658
PIGMENTACION PERMANETE
CICATRIZ
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658
VIA AEREA
Larry D. Hartzell, MD, Lisa M. Buckmiller, MD Current Management of Infantile Hemangiomas and Their Common Associated Conditions Otolaryngol Clin N Am 45 (2012) 545 556
V1-V2
P H A C E S
STERNAL CLEFTING
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658 Larry D. Hartzell, MD, Lisa M. Buckmiller, MD Current Management of Infantile Hemangiomas and Their Common Associated Conditions Otolaryngol Clin N Am 45 (2012) 545556
ULCERACION
Cuidado local de herida/ Debridamiento Compresas hmedas con soluciones de acetato de aluminio Domeboro solution [Bayer Health care, Morristown, NJ, USA). Antibioticos tpicos
CORTICOESTEROIDES ORALES 70-90 % RESPUESTA PREDNISOLONA Dosis de 2 a 5 mg/kg/d por 1 mes, 0,5 mg Irritabilidad, trastornos sueo, fascies cushing, supresin adrenal; inmunosupresin cardiomiopata
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658
Kilcline C, Frieden IJ. Infantile hemangiomas: how common are they? A systematicreview of the medical literature. Pediatr Dermatol 2008;25(2):16873
Arin K. Greene, MD, MMSc Management of Hemangiomas and other Vascular Tumors Clin Plastic Surg 38 (2011) 4563
CORTICOESTEROIDES INTRALESIONALES
Lesiones pequeas bien delimitadas Propiedades anti-angiognicas.
Aaron H. Baer, MDa, Hemant A. Parmar, MDa. Hemangiomas and Vascular Malformations of th eHead and Neck: A Simplified Approach Neuroimag Clin N Am 21 (2011) 641658
Kilcline C, Frieden IJ. Infantile hemangiomas: how common are they? A systematicreview of the medical literature. Pediatr Dermatol 2008;25(2):16873
Arin K. Greene, MD, MMSc Management of Hemangiomas and other Vascular Tumors Clin Plastic Surg 38 (2011) 4563
Constipacin, neuromiopatia
Kilcline C, Frieden IJ. Infantile hemangiomas: how common are they? A systematicreview of the medical literature. Pediatr Dermatol 2008;25(2):16873. Kristen E. Holland, MDa,*, Beth A. Drolet, MDb Infantile Hemangioma, Pediatr Clin N Am 57 (2010) 10691083
PROPANOLOL
1 a 3 mg/kg /d dividido 2-3 tomas Control con ekg 3 semanas
Kilcline C, Frieden IJ. Infantile hemangiomas: how common are they? A systematicreview of the medical literature. Pediatr Dermatol 2008;25(2):16873. Kristen E. Holland, MDa,*, Beth A. Drolet, MDb Infantile Hemangioma, Pediatr Clin N Am 57 (2010) 10691083
Larry D. Hartzell, MD, Lisa M. Buckmiller, MD Current Management of Infantile Hemangiomas and Their Common Associated Conditions Otolaryngol Clin N Am 45 (2012) 545556
Larry D. Hartzell, MD, Lisa M. Buckmiller, MD Current Management of Infantile Hemangiomas and Their Common Associated Conditions Otolaryngol Clin N Am 45 (2012) 545556
Inhibidor de angiogenesis
Kilcline C, Frieden IJ. Infantile hemangiomas: how common are they? A systematicreview of the medical literature. Pediatr Dermatol 2008;25(2):16873. Kristen E. Holland, MDa,*, Beth A. Drolet, MDb Infantile Hemangioma, Pediatr Clin N Am 57 (2010) 10691083
Kilcline C, Frieden IJ. Infantile hemangiomas: how common are they? A systematicreview of the medical literature. Pediatr Dermatol 2008;25(2):16873. Kristen E. Holland, MDa,*, Beth A. Drolet, MDb Infantile Hemangioma, Pediatr Clin N Am 57 (2010) 10691083
Kilcline C, Frieden IJ. Infantile hemangiomas: how common are they? A systematicreview of the medical literature. Pediatr Dermatol 2008;25(2):16873. Kristen E. Holland, MDa,*, Beth A. Drolet, MDb Infantile Hemangioma, Pediatr Clin N Am 57 (2010) 10691083
Introduccin teraputica de varias sustancias en la circulacin para ocluir vasos, controlar o evitar hemorragias, desvitalizar una estructura o tumor u rgano y reducir el flujo de sangre de una malformacin arteriovenosa
merland j. superphicial and peripheral vascular malformations.role of interventional radiology and embolization. j. mal. vasc.1992; 17:44-9
METAS TERAPEUTICAS:
Coadyuvante (quimioterapia y radioterapia) Curativo (aneurismas, fstulas arteriovenosas, malformaciones arteriovenosas, hemangiomas y sangrados traumticos)
Merland j. superphicial and peripheral vascular malformations.role of interventional radiology and embolization. j. mal. vasc.1992; 17:44-9
10%
Correccin esttica Mejorar cicatriz, tejido fibrograso, piel redundante
Kilcline C, Frieden IJ. Infantile hemangiomas: how common are they? A systematicreview of the medical literature. Pediatr Dermatol 2008;25(2):16873. Kristen E. Holland, MDa,*, Beth A. Drolet, MDb Infantile Hemangioma, Pediatr Clin N Am 57 (2010) 10691083
No requerimiento reconstructivo