Capillary Malformations in Dermis

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25 Questions

What type of malformations are characterized by postcapillary venules?

Capillary (venular) malformations

Where are the postcapillary venules located in capillary (venular) malformations?

Papillary dermis

What is the primary goal of treatment in the proliferative phase?

To eradicate or stunt the growth of lesions

What type of lesions are typically not treated aggressively in the proliferative phase?

Lesions that are not life or sight threatening

What is the primary component of capillary (venular) malformations?

Postcapillary venules

What is an important aspect of managing lesions in the proliferative phase?

Providing regular education to parents

Which of the following is NOT a characteristic of capillary (venular) malformations?

Located in the deep reticular dermis

What is the primary benefit of regular follow-up in the proliferative phase?

To ensure the lesion is not growing

What is the general classification of capillary (venular) malformations?

Low-flow malformations

What is the term for the approach of not actively treating a lesion in the proliferative phase?

Watchful neglect

What are the types of venous malformations?

Focal, multifocal, and diffuse

What percentage of venous malformations are located in the head and neck area?

60%

Where are the majority of venous malformations located?

Head and neck

What is a characteristic of up to 60% of venous malformations?

They are located in the head and neck area

What is true about venous malformations?

They can be found in the head and neck area

What is the purpose of grey-scale ultrasound?

To define whether the lesion is solid or cystic

What is the purpose of Doppler analysis?

To identify the presence of high flow vessels

What is the categorization of lymphatic malformations based on?

Size of cysts

What is established by Doppler analysis?

The presence or absence of high flow vessels

What is the characteristic of macrocystic lymphatic malformations?

Single or multiple cysts >2 cm3

What is defined by grey-scale ultrasound?

Whether the lesion is solid or cystic

What is the defining feature of microcystic lymphatic malformations?

Not specified in the content

What do grey-scale ultrasound and Doppler analysis help in?

Defining whether the lesion is solid or cystic and establishing the presence or absence of high flow vessels

How many categories are lymphatic malformations divided into?

2

What is the unit of measurement for the size of cysts in lymphatic malformations?

cm3

Study Notes

Low-Flow Malformations

  • Capillary (venular) malformations are composed of postcapillary venules within the papillary and superficial reticular dermis.
  • They can appear in focal, multifocal, or diffuse forms.
  • Approximately 60% of venous malformations occur in the head and neck area.

Lymphatic Malformations

  • Lymphatic malformations are categorized into two types:
    • Macrocystic: featuring single or multiple cysts larger than 2 cm3
    • Microcystic

Treatment of Low-Flow Malformations

  • During the proliferative phase, the goal is to eradicate or stunt the growth of the malformation.
  • Treatment options include:
    • Benign neglect or watchful waiting with parental education and regular follow-up, particularly for non-life-threatening lesions.
  • Diagnostic tools:
    • Grey-scale ultrasound
    • Doppler analysis: useful in determining whether the lesion is solid or cystic and in identifying the presence or absence of high-flow vessels.

Learn about capillary malformations, also known as venular malformations, and their composition in the dermis. This quiz covers the anatomy and characteristics of these malformations.

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