title: [Vascular anomaly in the midcheek region of an infant--review of the diagnostic procedure].
abstract: Clinical history, physical examination, evolution and imaging findings (Colour Doppler sonography, MRI if available) are of pivotal importance in the diagnostic pathway of an infantile vascular anomaly. Histopathology with specific stains and markers is contributive in difficult cases. Differentiation between vascular tumors (hemangioma) and vascular malformations is now well known and integrated into the ISSVA classification. We report here a 6-months-old boy, who presented with a localized cutaneous and expansive vascular birthmark in the left cheek and developed bleedings at the age of 18 months. Diagnostic features of a hemangioma were not evident, and the final diagnosis of a venous malformation was confirmed by histopathology.
authors.affiliation: Klinik für Kinder- und Jugendmedizin der Ruhr-Universität Bochum, Bochum, Germany.
authors.forename: L
authors.initials: L
authors.lastname: Rossler
authors.affiliation: Kinderchirurgische Klinik, Marienhospital Herne, Herne.
authors.forename: V
authors.initials: V
authors.lastname: Sander
authors.affiliation: Klinik für Kinder- und Jugendmedizin der Ruhr-Universität Bochum, Bochum, Germany.
authors.forename: I
authors.initials: I
authors.lastname: Teuber
authors.affiliation: Klinik für Dermatologie, Venerologie und Allergologie, Ruhr-Universität Bochum, Bochum.
authors.forename: M
authors.initials: M
authors.lastname: Stücker
authors.affiliation: Helios St. Elisabeth Klinik Oberhausen, Klinik für Dermatologie, Venerologie und Allergologie.
authors.forename: A
authors.initials: A
authors.lastname: Kreuter
authors.affiliation: Institut für Pathologie, Berufsgenossenschaftliches Universitätklinikum Bergmannsheil, Bochum.
authors.forename: I
authors.initials: I
authors.lastname: Stricker
authors.affiliation: Evangelisches Krankenhaus Bielefeld, Klinik für Kinder- und Jugendmedizin Kinderzentrum/Bethel, Bielefeld.
authors.forename: E
authors.initials: E
authors.lastname: Hamelmann
mesh_terms: D018952:Antigens, CD34 / Q000032:analysis; D001165:Arteriovenous Malformations / Q000145:classification / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D002610:Cheek / Q000098:blood supply* / Q000473:pathology; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005169:Factor VIII / Q000032:analysis; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019408:Platelet Endothelial Cell Adhesion Molecule-1 / Q000032:analysis; D012008:Recurrence; D012086:Reoperation; D009626:Terminology as Topic; D018615:Ultrasonography, Doppler, Color
chemical_list: D018952:Antigens, CD34; D019408:Platelet Endothelial Cell Adhesion Molecule-1; D005169:Factor VIII