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Italian Journal of Vascular and Endovascular Surgery 2021 March;28(1):20-4

DOI: 10.23736/S1824-4777.21.01486-8

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Within vascular malformations: histological confirmations and further aspects

Laura MONEGHINI 1 , Alfredo ZOCCA 2

1 Unit of Human Pathology, Department of Health Sciences, Santi Paolo e Carlo University Hospital, University of Milan, Milan, Italy; 2 Private Practitioner, Milan, Italy



INTRODUCTION: Vascular malformations (VMs) are rare vascular anomalies whose histological pattern suffer from obsolete and confusing terminology. Several histological classifications of VMs have been made starting with that of Virchow in the 19th century. Only in 1982 some authors distinguished VMs from other vascular anomalies such as benign vascular tumors, generally known as angiomas. Based on these data, in 1996 ISSVA (International Society for the Study of Vascular Anomalies) implemented a simple and multidisciplinary classification of vascular anomalies that also involves histological diagnosis. In this overview, we have studied the importance and effect of the ISSVA classification for the diagnosis, management and treatment of VMs.
EVIDENCE ACQUISITION: We performed a research related to histological classification in two electronic databases (MEDLINE and Cochrane Library), without limitation on article type.
EVIDENCE SYNTHESIS: We found 21 articles, 13 with a collection of cases and 8 with just a descriptive review. We reported the results on 374 collected cases of VMs, while we summarized the 8 descriptive reviews.
CONCLUSIONS: In conclusion, the best histological classification appears the ISSVA Classification because it allows to join different specialists through a common language that is important for the best diagnosis, management and treatment of patients with VMs.


KEY WORDS: Vascular malformations; Histological techniques; Classification

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