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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

Whole-body examination using 99mTc-RBC. Multiple vascular malformations are present in the left tarsus, in the projection of the right calcaneus bone and above the right talocrural joint, as well as in the area of the lateral epicondyle of the left femur and in the index finger of the right hand (arrows).
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f2B-poljradiol-79-27: Whole-body examination using 99mTc-RBC. Multiple vascular malformations are present in the left tarsus, in the projection of the right calcaneus bone and above the right talocrural joint, as well as in the area of the lateral epicondyle of the left femur and in the index finger of the right hand (arrows).

Mentions: In phleboscintigraphy, a correct radiomarker outflow from the feet via the deep venous system was visualised, which was also observed in the superficial venous system once the tourniquets were released. Vein enlargement was observed at that stage in both feet, but proper assessment of those areas was unreliable due to the localisation of injection sites (Figure 2A). In the 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 the right calcaneus and above the right talocrural joint. A small haemangioma was also detected in the index finger of the right hand (Figure 2B). A vascular lesion in the area of the lateral epicondyle of the left femur was best visualised in the static examination of the thighs (Figure 2C). Moreover, accessory saphenous veins were identified.


Congenital vascular malformations in scintigraphic evaluation.

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

Whole-body examination using 99mTc-RBC. Multiple vascular malformations are present in the left tarsus, in the projection of the right calcaneus bone and above the right talocrural joint, as well as in the area of the lateral epicondyle of the left femur and in the index finger of the right hand (arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f2B-poljradiol-79-27: Whole-body examination using 99mTc-RBC. Multiple vascular malformations are present in the left tarsus, in the projection of the right calcaneus bone and above the right talocrural joint, as well as in the area of the lateral epicondyle of the left femur and in the index finger of the right hand (arrows).
Mentions: In phleboscintigraphy, a correct radiomarker outflow from the feet via the deep venous system was visualised, which was also observed in the superficial venous system once the tourniquets were released. Vein enlargement was observed at that stage in both feet, but proper assessment of those areas was unreliable due to the localisation of injection sites (Figure 2A). In the 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 the right calcaneus and above the right talocrural joint. A small haemangioma was also detected in the index finger of the right hand (Figure 2B). A vascular lesion in the area of the lateral epicondyle of the left femur was best visualised in the static examination of the thighs (Figure 2C). Moreover, accessory saphenous veins were identified.

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