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Published on: June 15, 2020
[Classification of vascular tumors and malformations: basis for classification and clinical purpose]
C Moure1, G Reynaert, P Lehmman
1Service de chirurgie maxillofaciale, CHU de Amiens-Nord, place Victor-Pauchet, 80000 Amiens, France. christophemoure@wanadoo.fr
Insights
The International Society for the Study of Vascular Anomalies classification clarifies vascular tumors and malformations. This standardized language aids in diagnosing and treating these complex vascular anomalies.
Area of Science:
- Vascular biology and pathology
- Medical diagnostics and imaging
- Histopathology
Context:
- Vascular anomalies present diagnostic challenges due to inconsistent terminology.
- The International Society for the Study of Vascular Anomalies (ISSVA) established a unified classification system.
- This system is crucial for standardizing research and clinical practice.
Purpose:
- To introduce and explain the ISSVA classification of vascular anomalies.
- To differentiate between vascular tumors and vascular malformations.
- To highlight the clinical, radiological, hemodynamic, and histological basis of the classification.
Summary:
- Vascular anomalies are categorized into vascular tumors (proliferation, e.g., hemangiomas) and vascular malformations (morphologic vessel anomalies).
- Vascular malformations are further classified by vessel type: capillary, venous, lymphatic, and arteriovenous.
- The classification provides a common scientific language for these conditions.
Impact:
- Facilitates a standardized approach to radiological examination and treatment planning.
- Improves interdisciplinary communication and collaboration in managing vascular anomalies.
- Aids in advancing research and understanding of vascular tumor and malformation pathogenesis.
Abstract:
Vascular anomalies are a complex pathological group. They are especially difficult to study because of confusion in the terminology used. The classification developed by the ISSVA (International Society for the Study of Vascular Anomalies) now allows using a common scientific language. The classification is based on clinical, radiological, hemodynamic, and histological arguments. There are two groups of lesions: vascular tumors and vascular malformations. Vascular tumors are associated to vascular proliferation. They are called hemangioma and can be infantile or congenital. Vascular malformations are associated to vessels with morphologic anomalies. They are classified according to the distorted vessel type, capillary, venous, lymphatic, and arteriovenous). Such a classification has many implications. It is a guide for the orientation of radiological exams and treatment of vascular anomalies. The management of these anomalies is still difficult and must involve an interdisciplinary approach.
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