Vascular Soft-Tissue Tumors in Infancy: Distinguishing Features on Doppler Sonography
Josée Dubois1,
Laurent Garel1,
Michèle David2 and
Julie Powell3
1 Department of Medical Imaging, Hôpital Sainte-Justine and University of
Montreal, 3175 Côte Ste-Catherine, Montreal, Quebec, H3T 1C5
Canada.
2 Department of Hematology, Hôpital Sainte-Justine and University of
Montreal, Montreal, H3T IC5 Canada.
3 Department of Dermatology, Hôpital Sainte-Justine and University of
Montreal, Montreal, H3T IC5 Canada.
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Fig. 1. —2-month-old male infant with hemangioendothelioma of thoracic
wall who presented with large soft-tissue red mass. Kasabach-Merritt
phenomenon is present. Gray-scale sonogram shows ill-defined heterogeneous
mass with hyperechoic area and calcification (arrow).
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Fig. 2. —7-year-old boy with tufted angioma who presented with
violaceous plaque. Gray-scale sonogram shows poorly defined margin. Depth is
outlined by arrows. Note hyperechoic subcutaneous infiltration.
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Fig. 3. —2-week-old male neonate who presented with red mass on leg.
Gray-scale sonogram shows well-defined homogeneous infantile myofibromatosis
of leg.
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Fig. 4. —3-week-old female neonate with diffuse tender red plaque in
soft tissue of perineal region and inferior abdominal wall. Kasabach-Merritt
phenomenon was present. Color Doppler sonogram of hemangioendothelioma of
perineal region shows high vessel density, superior to five visible vessels
per square centimeter, with high systolic flow and peak of 6.5 kHz.
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Fig. 5. —1-month-old male infant who presented with red lesion of
axillary region. Doppler sonogram of hemangioendothelioma of axillary region
shows low vessel density, fewer than one vessel per square centimeter, and low
systolic shift (0.6 kHz). Diagnosis was confirmed at biopsy.
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Fig. 6. —8-year-old girl who presented with violaceous plaque of neck.
Color Doppler sonogram shows tufted angioma of neck. Low vessel density was
seen with systolic peak of 0.8 kHz. Diagnosis was confirmed at biopsy.
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Fig. 7. —2-month-old female infant who presented with red soft-tissue
mass of cervical region. Color Doppler sonogram shows infantile
myofibromatosis with moderate vessel density and systolic peak of 0.8 kHz.
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Fig. 8. —1-month-old female infant with soft-tissue hemangioma of
periorbital region. Color Doppler sonogram shows well-defined mass with high
vessel density, more than five vessels per square centimeter, and high
systolic shift (>2 kHz).
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Copyright © 2002 by the American Roentgen Ray Society.
