Neither caused by purulence or histologically granulomatous
Definitions
Hemangioma = benign neoplastic vascular tumor composed of vessels with endothelial cellular proliferation and mitoses
Not vascular malformation
Terminology used inconsistently in adult MSK literature, in which "hemangioma" is often used to refer to what should be called slow-flow vascular malformation (venous or cavernous malformation with phleboliths) that is nonneoplastic structural anomaly of vessels
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
Associated Syndromes With Infantile Hemangioma
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
Immunohistochemistry
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Wildgruber M et al: Vascular tumors in infants and adolescents. Insights Imaging. 10(1):30, 2019
Bansal AG et al: US of pediatric superficial masses of the head and neck. Radiographics. 38(4):1239-63, 2018
Gbolahan OO et al: Spindle cell hemangioma: unusual presentation of an uncommon tumor. J Oral Maxillofac Pathol. 19(3):406, 2015
ISSVA: International Society for the Study of Vascular Anomalies (ISSVA) classification of vascular anomalies. Published April 2014. Updated May 2018. https://www.issva.org/UserFiles/file/ISSVA-Classification-2018.pdf
Piraccini BM et al: Periungual and subungual pyogenic granuloma. Br J Dermatol. 163(5):941-53, 2010
Giblin AV et al: Pyogenic granuloma - the quest for optimum treatment: audit of treatment of 408 cases. J Plast Reconstr Aesthet Surg. 60(9):1030-5, 2007
Dubois J et al: Soft-tissue hemangiomas in infants and children: diagnosis using Doppler sonography. AJR Am J Roentgenol. 171(1):247-52, 1998
Patrice SJ et al: Pyogenic granuloma (lobular capillary hemangioma): a clinicopathologic study of 178 cases. Pediatr Dermatol. 8(4):267-76, 1991
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Abbreviations
Infantile hemangioma (IH)
Congenital hemangioma (CH)
Rapidly involuting CH (RICH)
Noninvoluting CH (NICH)
Lobular capillary hemangioma (LobCpH)
Synonyms
LobCpH = pyogenic granuloma
Neither caused by purulence or histologically granulomatous
Definitions
Hemangioma = benign neoplastic vascular tumor composed of vessels with endothelial cellular proliferation and mitoses
Not vascular malformation
Terminology used inconsistently in adult MSK literature, in which "hemangioma" is often used to refer to what should be called slow-flow vascular malformation (venous or cavernous malformation with phleboliths) that is nonneoplastic structural anomaly of vessels
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
Associated Syndromes With Infantile Hemangioma
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
Immunohistochemistry
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Wildgruber M et al: Vascular tumors in infants and adolescents. Insights Imaging. 10(1):30, 2019
Bansal AG et al: US of pediatric superficial masses of the head and neck. Radiographics. 38(4):1239-63, 2018
Gbolahan OO et al: Spindle cell hemangioma: unusual presentation of an uncommon tumor. J Oral Maxillofac Pathol. 19(3):406, 2015
ISSVA: International Society for the Study of Vascular Anomalies (ISSVA) classification of vascular anomalies. Published April 2014. Updated May 2018. https://www.issva.org/UserFiles/file/ISSVA-Classification-2018.pdf
Piraccini BM et al: Periungual and subungual pyogenic granuloma. Br J Dermatol. 163(5):941-53, 2010
Giblin AV et al: Pyogenic granuloma - the quest for optimum treatment: audit of treatment of 408 cases. J Plast Reconstr Aesthet Surg. 60(9):1030-5, 2007
Dubois J et al: Soft-tissue hemangiomas in infants and children: diagnosis using Doppler sonography. AJR Am J Roentgenol. 171(1):247-52, 1998
Patrice SJ et al: Pyogenic granuloma (lobular capillary hemangioma): a clinicopathologic study of 178 cases. Pediatr Dermatol. 8(4):267-76, 1991
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