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A Patient-Derived Xenograft Model for Venous Malformation
Published on: June 15, 2020
Pediatric Vascular Tumors and Malformations
1Department of Pathology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA; Department of Pathology and Laboratory Medicine, Children's Hospital of Wisconsin, 9000 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
Insights
Pediatric vascular tumors and malformations are diverse lesions. Recent advances support a biologically based classification for targeted therapies in children.
Area of Science:
- Vascular biology
- Pediatric pathology
- Medical imaging
Background:
- Pediatric vascular tumors and malformations are a heterogeneous group of lesions.
- Traditionally misclassified as 'hemangioma', these require precise diagnosis.
- Advances in understanding pathogenesis necessitate updated classification.
Purpose of the Study:
- To differentiate major types of pediatric vascular tumors and malformations.
- To review key histologic, immunophenotypic, and clinical features.
- To briefly discuss pathogenic mechanisms.
Main Methods:
- Histologic examination of pediatric vascular lesions.
- Immunophenotypical analysis.
- Clinical feature review.
- Pathogenesis review.
Main Results:
- Detailed description of distinct vascular tumor and malformation types.
- Highlighting features for accurate differentiation.
- Review of underlying pathogenic mechanisms.
Conclusions:
- A biologically based classification system is crucial for pediatric vascular anomalies.
- Accurate classification enables targeted therapeutic approaches.
- Understanding pathogenesis guides improved patient management.
Abstract:
Pediatric vascular tumors and malformations, comprising a broad category of lesions often referred to as vascular anomalies, are a heterogenous group of clinicopathologically distinct entities. Pathologists, clinicians, and radiologists have traditionally lumped these lesions under the generic term, hemangioma, sometimes qualified by modifiers, such as capillary or cavernous. Advances in understanding underlying pathogenetic mechanisms support more specific classification and more specifically targeted therapies. Multidisciplinary consensus has moved toward a biologically based classification system and therapeutic approach for dealing with these lesions. This content focuses on the histologic, immunophenotypical, and clinical features that distinguish the major types of vascular tumors and malformations presenting in infancy and childhood. Pathogenic mechanisms are also briefly reviewed.
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