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Congenital vascular malformations in scintigraphic evaluation.

Pilecki S, Gierach M, Gierach J, Swiętaszczyk C, Junik R, Lasek W - Pol J Radiol (2014)

Bottom Line: In static and whole-body examinations vascular malformations were visualised in the area of the medial cuneiform, navicular and talus bones of the left foot, as well as in the projection of right calcaneus and above the right talocrural joint.People with undiagnosed disorders related to the presence of vascular malformations should undergo periodic follow-up to identify lesions that may be the cause of potentially serious complications and to assess the results of treatment.Presented scintigraphic methods may be used for both diagnosing and monitoring of disease progression.

View Article: PubMed Central - PubMed

Affiliation: Laboratory of Nuclear Medicine, Regional Specialist Hospital in Grudziądz, Grudziądz, Poland ; Laboratory of Nuclear Medicine, Department of Endocrinology and Diabetology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.

ABSTRACT

Background: Congenital vascular malformations are tumour-like, non-neoplastic lesions caused by disorders of vascular tissue morphogenesis. They are characterised by a normal cell replacement cycle throughout all growth phases and do not undergo spontaneous involution. Here we present a scintigraphic image of familial congenital vascular malformations in two sisters.

Material/methods: A 17-years-old young woman with a history of multiple hospitalisations for foci of vascular anomalies appearing progressively in the upper and lower right limbs, chest wall and spleen. A Parkes Weber syndrome was diagnosed based on the clinical picture. Due to the occurrence of new foci of malformations, a whole-body scintigraphic examination was performed. A 12-years-old girl reported a lump in the right lower limb present for approximately 2 years, which was clinically identified as a vascular lesion in the area of calcaneus and talus. Phleboscintigraphy visualized normal radiomarker outflow from the feet via the deep venous system, also observed in the superficial venous system once the tourniquets were released. In static and whole-body examinations vascular malformations were visualised in the area of the medial cuneiform, navicular and talus bones of the left foot, as well as in the projection of right calcaneus and above the right talocrural joint.

Conclusions: People with undiagnosed disorders related to the presence of vascular malformations should undergo periodic follow-up to identify lesions that may be the cause of potentially serious complications and to assess the results of treatment. Presented scintigraphic methods may be used for both diagnosing and monitoring of disease progression.

No MeSH data available.


Related in: MedlinePlus

Phleboscintigraphy: proper radiomarker outflow from the feet, mainly via the deep venous system, also after tourniquet release in the 5th minute of examination.
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f1A-poljradiol-79-27: Phleboscintigraphy: proper radiomarker outflow from the feet, mainly via the deep venous system, also after tourniquet release in the 5th minute of examination.

Mentions: Correct radiomarker outflow from the feet via the deep venous system was visualised in phleboscintigraphy (Figure 1A). In the subsequent static scintigrams the marker also appeared in the superficial system, mainly in the saphenous veins, demonstrating better radiomarker elimination via the right saphenous vein. In the whole-body examination, vascular malformations were detected in the projection of the right tarsus, in the distal end and in the middle part of the right crus, as well as in the left tarsus and above the lateral malleolus of the lower left limb (Figure 1B). Visible vascular malformations in the upper right limb were present mainly in the hand and forearm, reaching proximal 1/3 of the forearm (Figure 1B). A small vascular lesion was also visualised in the posterolateral part of the chest, on the right side (Figure 1B). Static examination also allowed us to detect an anatomic variant, femoral vein duplication, in the upper part of the right thigh (Figure 1C).


Congenital vascular malformations in scintigraphic evaluation.

Pilecki S, Gierach M, Gierach J, Swiętaszczyk C, Junik R, Lasek W - Pol J Radiol (2014)

Phleboscintigraphy: proper radiomarker outflow from the feet, mainly via the deep venous system, also after tourniquet release in the 5th minute of examination.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3927420&req=5

f1A-poljradiol-79-27: Phleboscintigraphy: proper radiomarker outflow from the feet, mainly via the deep venous system, also after tourniquet release in the 5th minute of examination.
Mentions: Correct radiomarker outflow from the feet via the deep venous system was visualised in phleboscintigraphy (Figure 1A). In the subsequent static scintigrams the marker also appeared in the superficial system, mainly in the saphenous veins, demonstrating better radiomarker elimination via the right saphenous vein. In the whole-body examination, vascular malformations were detected in the projection of the right tarsus, in the distal end and in the middle part of the right crus, as well as in the left tarsus and above the lateral malleolus of the lower left limb (Figure 1B). Visible vascular malformations in the upper right limb were present mainly in the hand and forearm, reaching proximal 1/3 of the forearm (Figure 1B). A small vascular lesion was also visualised in the posterolateral part of the chest, on the right side (Figure 1B). Static examination also allowed us to detect an anatomic variant, femoral vein duplication, in the upper part of the right thigh (Figure 1C).

Bottom Line: In static and whole-body examinations vascular malformations were visualised in the area of the medial cuneiform, navicular and talus bones of the left foot, as well as in the projection of right calcaneus and above the right talocrural joint.People with undiagnosed disorders related to the presence of vascular malformations should undergo periodic follow-up to identify lesions that may be the cause of potentially serious complications and to assess the results of treatment.Presented scintigraphic methods may be used for both diagnosing and monitoring of disease progression.

View Article: PubMed Central - PubMed

Affiliation: Laboratory of Nuclear Medicine, Regional Specialist Hospital in Grudziądz, Grudziądz, Poland ; Laboratory of Nuclear Medicine, Department of Endocrinology and Diabetology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.

ABSTRACT

Background: Congenital vascular malformations are tumour-like, non-neoplastic lesions caused by disorders of vascular tissue morphogenesis. They are characterised by a normal cell replacement cycle throughout all growth phases and do not undergo spontaneous involution. Here we present a scintigraphic image of familial congenital vascular malformations in two sisters.

Material/methods: A 17-years-old young woman with a history of multiple hospitalisations for foci of vascular anomalies appearing progressively in the upper and lower right limbs, chest wall and spleen. A Parkes Weber syndrome was diagnosed based on the clinical picture. Due to the occurrence of new foci of malformations, a whole-body scintigraphic examination was performed. A 12-years-old girl reported a lump in the right lower limb present for approximately 2 years, which was clinically identified as a vascular lesion in the area of calcaneus and talus. Phleboscintigraphy visualized normal radiomarker outflow from the feet via the deep venous system, also observed in the superficial venous system once the tourniquets were released. In static and whole-body examinations vascular malformations were visualised in the area of the medial cuneiform, navicular and talus bones of the left foot, as well as in the projection of right calcaneus and above the right talocrural joint.

Conclusions: People with undiagnosed disorders related to the presence of vascular malformations should undergo periodic follow-up to identify lesions that may be the cause of potentially serious complications and to assess the results of treatment. Presented scintigraphic methods may be used for both diagnosing and monitoring of disease progression.

No MeSH data available.


Related in: MedlinePlus