RESUMEN
Background: Arteriovenous malformation [AVM] are vascular anomalies that may threaten functional and vital prognosis
The aim of this study was to assess the management of Arteriovenous malformation
Methods: it is retrospective study about 54 patients, having AVM, collected over a 7-year period
Results: Sex ratio M/F was 1.25; average age at the diagnosis was 25.4 years. Puberty, pregnancy and trauma, were the most important favoring factors for the development of AVM. Location was the head in 75% of the cases. Doppler ultrasound was the most indicated examination to confirm the diagnosis
In over than 70% of our patients, therapeutic abstention and follow-up were indicated. In the other cases, embolixation, with or without surgery was the treatment. A patient died of massive haemorrhage
Treatment is necessary in complicated AVM. Follow-up [if abstention or after treatment] is mainly based on clinical and Doppler data
Conclusions: AVM are anomalies that may be serious and their management must be multidisciplinary to allow better therapeutic indications
Asunto(s)
Adulto , Adolescente , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Persona de Mediana Edad , Factores de Riesgo , Pubertad , Embarazo , Heridas y Lesiones , Cabeza/patología , Estudios RetrospectivosRESUMEN
Embolisation of head and neck hypervascular tumours and arterioveinous malformations [AVMs] is now a well-established therapeutic procedure. The purpose of this study was to analyse the technique and to evaluate the safety and value of preoperative embolization of hypervascular lesions. We retrospectively reviewed the records of 5 patients, aged between 14 and 47 years, with hypervascular tumours and AVMs in the head and neck. Lesions were distributed as follow: nasal angiofibroma [n=1], nasal angioleiomyoma [n=1], nasopharyngeal angiofibroma [n=1], aneurysmal bone cyst in the posterior element of the second cervical vertebra [n=1] and AVM of the inferior lip [n=1]. Angiography and embolization were carried out at the same time. Complete exclusion of lesions was obtained without any complications. Complementary surgical resection was performed with not notable blood loss
Asunto(s)
Humanos , Masculino , Femenino , Embolización Terapéutica , Cabeza , Cuello , Estudios Retrospectivos , Angiofibroma , Angiomioma , Quistes Óseos AneurismáticosRESUMEN
Dermoid. cysts are benign tumours, resulting of an embryologic defect. They usually have good prognosis, only a single case of malignant transformation of a sublingual dermoid cyst has been brought back in literature.We report a case of carcinomatous transformation of a dermoid cyst of the scalp, in a 54 years old man