4.5 Review

Vascular lesions of the pediatric orbit: A radiological walkthrough

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FRONTIERS IN PEDIATRICS
卷 10, 期 -, 页码 -

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FRONTIERS MEDIA SA
DOI: 10.3389/fped.2022.734286

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vascular malformations; artero-venous malformation; lymphatic malformation (LM); orbital pathology; pediatric orbit; vascular lesion; infantile hemangioma (IH)

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Vascular anomalies of the pediatric orbit include vascular tumors and vascular malformations. These disorders can cause symptoms and functional damage. Imaging plays a crucial role in diagnosis and treatment, with radiologists playing an important role in multidisciplinary management.
Vascular anomalies of the pediatric orbit represent a heterogeneous group that include both vascular tumors and vascular malformations. The disorder may initially be silent and then associated with symptoms and/or function damage, depending on the type of vascular anomaly and its extension. Vascular tumors include benign, locally aggressive (or borderline) and malignant forms while vascular malformations are divided into simple, combined and syndromic, or low flow or high flow. Both entities can arise in isolation or as part of syndromes. In this review, we describe the imaging findings of the vascular lesions of the orbit in the pediatric population, which are key to obtain a correct diagnosis and to guide the appropriate treatment in the light of the new genetic and molecular discoveries, and the role of the radiologist in their multidisciplinary management. We will also touch upon the main syndromes associated with orbital vascular abnormalities.

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