Role of imaging in the diagnosis of parotid infantile hemangiomas

Weber, Fabiola C.; Greene, Arin K.; Adams, Denise M.; Liang, Marilyn G.; Alomari, Mohammed H.; Voss, Stephan D.

doi:10.1016/j.ijporl.2017.08.035

Cited by 19 publications

(17 citation statements)

References 14 publications

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“…Most cases of hemangioma manifest as cutaneous lesions in the head and neck ( 22), and we used MVUS for an infantile hemangioma that occurred in the parotid gland. US findings of the infantile hemangioma of the parotid gland included a well-circumscribed hypervascular mass with fast flow, confirmed using Doppler spectral waves (23). In our experience, CDUS was sufficient to diagnose infantile hemangiomas, but MVUS had the advantage of defining the margin and extent (Fig.…”

Section: Vascular Lesionssupporting

confidence: 53%

Ultrasonographic Demonstration of the Tissue Microvasculature in Children: Microvascular Ultrasonography Versus Conventional Color Doppler Ultrasonography

Yoo

Choo³

2020

Korean J Radiol

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Microvascular ultrasonographic imaging is the most recent and unique Doppler ultrasound technique. It uses an advanced clutter filter that can remove clutter artifacts and preserve the low-velocity microvascular flow signal. The potential advantages of microvascular ultrasonography are its superiority in detection and visualization of the small blood vessels in tissues, providing radiologists with more information on the vascular structures. Therefore, it has shown particular value in the clinical fields. The aim of this study was to provide microvascular ultrasonographic images for the tissue microvasculature, including the brain, thyroid gland, kidney, urinary bladder, small bowel, ovary, testis, lymph node, and hemangiomas in children, focusing on the comparison with conventional color Doppler ultrasonographic images.

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Section: Vascular Lesionssupporting

confidence: 53%

Ultrasonographic Demonstration of the Tissue Microvasculature in Children: Microvascular Ultrasonography Versus Conventional Color Doppler Ultrasonography

Yoo

Choo³

2020

Korean J Radiol

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“…Magnetic resonance imaging is of great value in accurately making histological and locational diagnoses and in clearly demonstrating the details of lesion structure and spatial anatomical relationships, and thus it has been used in the diagnosis of IH, especially in complex situations such as brain involvement, hepatic hemangioma, orbital hemangioma and parotid hemangioma. [20][21][22][23] We performed MRI to evaluate the involution of deep residual lesions in mixed and deep hemangiomas. With the help of MRI, we found that undegraded hemangioma remained under skin that was considered to be completely involuted into fibrofatty tissue at the age of 5 years.…”

Section: Discussionmentioning

confidence: 99%

Clinical and radiological outcomes of infantile hemangioma treated with oral propranolol: A long‐term follow‐up study

Zhang

Cai

Chang

et al. 2019

The Journal of Dermatology

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Infantile hemangiomas (IH) undergo rapid growth during early infancy followed by gradual involution. After involution, a part of IH remain as residual lesions. Since 2008, oral propranolol has been widely used in the treatment of IH. However, long‐term outcome of IH treated with propranolol remains unknown. This study aimed to investigate the sequelae of IH treated with propranolol. In this study, propranolol was given at a dose of 2 mg/kg per day at the age of 3.8 ± 2.5 months and follow‐up visits were arranged to continue at least through the age of 4 years. Types of sequela were recorded and classified as four degrees (“none”, “minimal”, “significant” and “severe” at last visit), then subsequent therapy was evaluated with the help of magnetic resonance imaging (MRI). A total of 73 patients with complete follow up were enrolled in the study. The most common types of sequela were telangiectasia, fibrofatty tissue and erythema. Significant and severe sequelae were observed in 72.4% of treated IH; superficial IH led to more but not significantly significant and severe sequelae than mixed IH (P > 0.05). Despite propranolol treatment, surgery was still needed in 37.5% of IH at a mean age of 70.3 months, and for the main reason of surgery, fibrofatty or hemangioma residua, MRI was useful for us to choose an appropriate surgical procedure.

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“…Натомість, глибоко розташовані ІГ можуть викликати труднощі для діагностики. Зокрема, навколовушні ІГ, які є найчастішими пухлинами цієї ділянки у дітей до 4 місяців, можуть проявлятися у вигляді глибоко розташованої пухлини, без шкірних проявів [65]. При зборі анамнезу потрібно звертати увагу на час виникнення утворення, динаміку його росту, наявність ускладнень.…”

Section: діагностикаunclassified

Infantile hemangioma

Pereyaslov¹,

Rybalchenko²,

Losev³

2020

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Infantile hemangioma is one of the most common benign vascular malformations in children. Besides that, some questions about classification, diagnostic, and choice of method of treatment remains the questionable. The modern data about classification, clinical course, diagnostic, and main principles of treatment of infantile hemangioma are presented in this work. In most cases, the uncomplicated clinical course of infantile hemangioma was observed. However, in some patients the complications may arise. Ulceration, obstruction, functional impairment, and disfigurement are the most often complications of infantile hemangioma. Although, most infantile hemangiomas tend to regress spontaneously, some of them required the treatment. Applying of the β-blockers (systemic or topical), laser therapy, and surgery are the main methods that used for the treatment of infantile hemangiomas. Patients with infantile hemangiomas, despite the simplicity of diagnostic, should be treated on specialized centers. Early detection of at-risk infantile haemangioma is a major point, requiring an increased awareness by paediatricians, with the aim to prevent the complications development. However, it was proven the efficacy of propranolol treatment for the all types of infantile hemangiomas, the long-term follow-up studies are needed to assess its safety with regard to neurodevelopment. No conflict of interest was declared by the authors. Key words: infantile hemangioma, diagnostic, treatment.

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Role of imaging in the diagnosis of parotid infantile hemangiomas

Cited by 19 publications

References 14 publications

Ultrasonographic Demonstration of the Tissue Microvasculature in Children: Microvascular Ultrasonography Versus Conventional Color Doppler Ultrasonography

Ultrasonographic Demonstration of the Tissue Microvasculature in Children: Microvascular Ultrasonography Versus Conventional Color Doppler Ultrasonography

Clinical and radiological outcomes of infantile hemangioma treated with oral propranolol: A long‐term follow‐up study

Infantile hemangioma

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