Details

Autor(en) / Beteiligte

• Hoornweg, Marije J
• Theunissen, Carla I.J.M
• Hage, J Joris
• van der Horst, Chantal M.A.M

Titel

Malignant Differential Diagnosis in Children Referred for Infantile Hemangioma

Ist Teil von

• Annals of plastic surgery, 2015-01, Vol.74 (1), p.43-46

Ort / Verlag

United States: by Lippincott Williams & Wilkins

Erscheinungsjahr

2015

Quelle

MEDLINE

Beschreibungen/Notizen

• BACKGROUND AND AIMEarly age malignant tumors can mimic benign infantile hemangioma (IH). The purpose of this study was to determine the percentage of patients referred with a diagnosis of IH that were misdiagnosed, including that of those who in fact had malignant lesions and to assess how the misdiagnosis was reached. METHODSFrom April 2003 through December 2009, all records of children, referred with a diagnosis of IH, were studied to determine the definitive diagnosis. Characteristics of the children with malignant diagnoses and of their diagnostic process were retrospectively analyzed. RESULTSThe referral diagnosis “hemangioma” was recorded in 423 children and confirmed in 89%. Thirty-nine children were rediagnosed with a vascular malformation (7%) or other benign anomalies (2%). The 7 (2%) remaining children were diagnosed with a malignancy. CONCLUSIONSIn cases where the diagnosis of IH is equivocal, biopsy has to be performed in a specialized center to prevent delay.