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Vascular

Avms And Vasc Malformations

  • Vascular Malformations and Hemangiomatosis Syndromes

    - Blue rubber bleb nevus syndrome
    - Proteus syndrome
    - Klippel-Trenauney Sydrome
    - Kasabach-Merritt syndrome
  • Blue rubber bleb nevus syndrome: facts

    - Multiple subcutaneous as well as GI tract small tumors
    - Vascular GI lesions will commonly bleed
    - Can involve entire GI tract but most commonly small bowel
    - Associated with increased incidence of medulloblastoma, CLL, RCC and squammous cell carcinoma
  • Proteus Syndrome: facts

    - Hemihypertrophy, partial gigantism
    - Vascular tumors and AVMs
    - Lipomas and fatty tumor proliferation
    - splenomegaly
  • Klippel-Trenaunay Syndrome: Facts

    - Three key findings
    –Port wine stain
    –Abnormal vascular structures
    –Osseous and soft tissue hypertrophy
  • Klippel-Trenaunay Syndrome: Facts

    - Patients have GI tract hemangiomas including bowel involvement with calcifications
  • Kasabach-Merritt Syndrome: facts

    - Consumptive thrombocytopenia and coagulopathy
    - Can lead to DIC
    - May have large hepatic or splenic hemangioma
    - Association with angiosarcoma and AVMs
  • Pulmonary Arteriovenous Malformations: Facts

    - Congenital in origin
    - 60-90% of patients have hereditary hemorrhagic telangiectasia (aka Rendu- Osler-Weber syndrome)