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Verrucous Hemangioma or Verrucous Venous Malformation? Towards a Classification Based on Genetic Analysis
FR - Hemangioma verrucoso o malformación venosa verrucosa? Hacia una clasificación asentada en el estudio genético
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"apellidos" => "de la Riva" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731016000776" "doi" => "10.1016/j.ad.2016.02.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731016000776?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219016300245?idApp=UINPBA000044" "url" => "/15782190/0000010700000005/v2_201703310310/S1578219016300245/v2_201703310310/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Resident's Forum</span>" "titulo" => "Verrucous Hemangioma or Verrucous Venous Malformation? Towards a Classification Based on Genetic Analysis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "427" "paginaFinal" => "428" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "N. Knöpfel, P.H. Hoeger" "autores" => array:2 [ 0 => array:4 [ "nombre" => "N." "apellidos" => "Knöpfel" "email" => array:1 [ 0 => "nicole.knopfel@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "P.H." "apellidos" => "Hoeger" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitari Son Espases, Palma de Mallorca, Islas Baleares, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Pediatría y Dermatología Pediátrica, Katholische Kinderkrankenhaus Wilhelmstift, Hamburg, Alemania" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "FR - Hemangioma verrucoso o malformación venosa verrucosa? Hacia una clasificación asentada en el estudio genético" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">To optimize investigation in the field of vascular anomalies, it is essential to have an accurate classification system based on a universal, standardized nomenclature. In 1992, the International Society for the Study of Vascular Anomalies (ISSVA) was founded with the goal of standardizing knowledge of vascular lesions among different medical specialists (pediatricians, dermatologists, vascular surgeons, plastic surgeons, radiologists, pathologists, etc.), and its work has contributed to extraordinary advances in scientific understanding in this field in recent years. The ISSVA classification was updated at the April 2014 General Assembly in Melbourne, Australia, but it is recognized in this version that there are still unclassififed vascular anomalies. One such example is verrucous hemangioma (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>). Imperial and Helwig<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> initially considered verrucous hemangioma to be a vascular malformation involving the subcutaneous tissue with reactive epidermal acanthosis and hyperkeratosis. Its clinical characteristics are similar to those seen in vascular malformations, explaining why certain authors have proposed the terms <span class="elsevierStyleItalic">hyperkeratotic vascular malformation</span> and <span class="elsevierStyleItalic">verrucous malformation</span> to describe this lesion. Verrucous hemangioma, however, has also been classified as a hemangioma, as it has thick-walled vessels, a multilamellated basement membrane, and shows positive staining for WT1 (Wilms tumor 1 protein) and GLUT1 (glucose transporter protein).<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2,3</span></a></p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">A group of researchers at the prestigious Boston Children's Hospital of Harvard Medical School recently reported the discovery of a somatic mitogen-activated protein kinase kinase kinase (MAP3K3) missense mutation responsible for verrucous hemangioma, and concluded that this genetic finding strongly supports that this lesion is better designated as a venous malformation.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> The authors performed whole-exome sequencing in search of somatic mutations affecting the same gene in verrucous hemangioma specimens from 6 unrelated individuals. They found a MAP3K3 missense variant (c.1323C<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>G [p.Iso441Met]), later validated through droplet digital polymerase chain reaction, in 3 of these individuals. Using DNA analysis, they also found the same mutation in 3 out of 4 specimens taken from patients with verrucous hemangioma. This mutation was not observed in the healthy tissue or saliva of affected individuals or in other vascular anomalies, including hemangiomas, capillary malformations, lymphatic malformations, or arteriovenous malformations. The results of this group of researchers are supported by previous studies on mice with global and conditional knockout alleles of MAP3K3 that have shown the implication of this gene in the proliferation and survival of endothelial cells during embryo development.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> MAP3K3 is involved in the angiopoietin 1 (ANG1) and tunica internal endothelial cell kinase (TIE2) signaling pathway, and the TIE2 pathway has been implicated in both sporadic venous malformations and venous malformations with autosomal dominant inheritance.</p><p id="par0015" class="elsevierStylePara elsevierViewall">In conclusion, the identification of a genetic mutation downstream of the Ang1-TIE2 pathway constitutes a turning point in our understanding of an anomaly that has generated much confusion in the literature. The detection of this mutation confirms that verrucous hemangioma has both clinical and genetic features consistent with a venous malformation, despite the fact that it shows positive staining for WT1 and GLUT1. It also opens the doors for targeted therapy.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:1 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec819512" "palabras" => array:3 [ 0 => "Verrucous hemangioma" 1 => "Verrucous venous malformation" 2 => "<span class="elsevierStyleItalic">MAP3K3</span>" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Please cite this article as: Knöpfel N, Hoeger P. FR - Hemangioma verrucoso o malformación venosa verrucosa? Hacia una clasificación asentada en el estudio genético. Actas Dermosifiliogr. 2016;107:427–428.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:3 [ "leyenda" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Abbreviations: GLUT1, glucose transporter protein 1; WT1, Wilms tumor 1.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Vascular Malformations \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Hemangiomas \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Verrucous hemangioma \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Manifestation \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Mostly at birth \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Mostly after birth \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Mostly at birth or in early childhood \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Growth pattern \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Proportional to individual's growth \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Exponential and transient \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Proportional to individual's growth. Appearance of hyperkeratosis and satellite lesions with time \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Spontaneous regression \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Yes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Endothelial proliferation \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">No \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Yes \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Yes \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Immunohistochemical markers \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Negative for WT1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Positive for WT1<br>Positive for GLUT1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Positive for WT1<br>Positive for GLUT1<br>Negative for D2-40<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a><br>Negative for Prox1<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a> \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1383315.png" ] ] ] "notaPie" => array:1 [ 0 => array:3 [ "identificador" => "tblfn0005" "etiqueta" => "a" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Lymphatic vessel marker.</p>" ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Characteristics of Verrucous Hemangioma Alongside Distinguishing Characteristics of Vascular Malformations and Vascular Tumors/Hemangiomas.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Verrucous hemangioma. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 3 | 5 | 8 |
| 2024 Octubre | 100 | 46 | 146 |
| 2024 Septiembre | 101 | 40 | 141 |
| 2024 Agosto | 118 | 42 | 160 |
| 2024 Julio | 154 | 51 | 205 |
| 2024 Junio | 108 | 37 | 145 |
| 2024 Mayo | 104 | 40 | 144 |
| 2024 Abril | 84 | 27 | 111 |
| 2024 Marzo | 92 | 38 | 130 |
| 2024 Febrero | 89 | 34 | 123 |
| 2024 Enero | 76 | 36 | 112 |
| 2023 Diciembre | 63 | 22 | 85 |
| 2023 Noviembre | 95 | 39 | 134 |
| 2023 Octubre | 103 | 30 | 133 |
| 2023 Septiembre | 73 | 35 | 108 |
| 2023 Agosto | 75 | 23 | 98 |
| 2023 Julio | 89 | 34 | 123 |
| 2023 Junio | 67 | 26 | 93 |
| 2023 Mayo | 89 | 26 | 115 |
| 2023 Abril | 54 | 18 | 72 |
| 2023 Marzo | 64 | 27 | 91 |
| 2023 Febrero | 62 | 35 | 97 |
| 2023 Enero | 66 | 28 | 94 |
| 2022 Diciembre | 65 | 39 | 104 |
| 2022 Noviembre | 29 | 30 | 59 |
| 2022 Octubre | 40 | 27 | 67 |
| 2022 Septiembre | 29 | 37 | 66 |
| 2022 Agosto | 45 | 51 | 96 |
| 2022 Julio | 29 | 53 | 82 |
| 2022 Junio | 19 | 27 | 46 |
| 2022 Mayo | 97 | 32 | 129 |
| 2022 Abril | 68 | 30 | 98 |
| 2022 Marzo | 83 | 61 | 144 |
| 2022 Febrero | 57 | 31 | 88 |
| 2022 Enero | 69 | 34 | 103 |
| 2021 Diciembre | 56 | 39 | 95 |
| 2021 Noviembre | 77 | 56 | 133 |
| 2021 Octubre | 72 | 50 | 122 |
| 2021 Septiembre | 65 | 57 | 122 |
| 2021 Agosto | 62 | 33 | 95 |
| 2021 Julio | 60 | 46 | 106 |
| 2021 Junio | 80 | 37 | 117 |
| 2021 Mayo | 73 | 49 | 122 |
| 2021 Abril | 149 | 56 | 205 |
| 2021 Marzo | 114 | 37 | 151 |
| 2021 Febrero | 80 | 36 | 116 |
| 2021 Enero | 53 | 27 | 80 |
| 2020 Diciembre | 38 | 18 | 56 |
| 2020 Noviembre | 53 | 27 | 80 |
| 2020 Octubre | 43 | 22 | 65 |
| 2020 Septiembre | 55 | 12 | 67 |
| 2020 Agosto | 40 | 22 | 62 |
| 2020 Julio | 52 | 25 | 77 |
| 2020 Junio | 35 | 33 | 68 |
| 2020 Mayo | 30 | 16 | 46 |
| 2020 Abril | 34 | 29 | 63 |
| 2020 Marzo | 21 | 23 | 44 |
| 2020 Febrero | 7 | 2 | 9 |
| 2020 Enero | 4 | 0 | 4 |
| 2019 Diciembre | 8 | 0 | 8 |
| 2019 Noviembre | 4 | 0 | 4 |
| 2019 Septiembre | 8 | 0 | 8 |
| 2019 Agosto | 4 | 0 | 4 |
| 2019 Julio | 4 | 0 | 4 |
| 2019 Junio | 6 | 0 | 6 |
| 2019 Mayo | 10 | 2 | 12 |
| 2019 Abril | 2 | 1 | 3 |
| 2019 Marzo | 2 | 3 | 5 |
| 2019 Febrero | 1 | 0 | 1 |
| 2019 Enero | 2 | 0 | 2 |
| 2018 Diciembre | 2 | 0 | 2 |
| 2018 Noviembre | 4 | 0 | 4 |
| 2018 Octubre | 11 | 0 | 11 |
| 2018 Septiembre | 10 | 0 | 10 |
| 2018 Abril | 0 | 1 | 1 |
| 2018 Marzo | 0 | 11 | 11 |
| 2018 Febrero | 49 | 18 | 67 |
| 2018 Enero | 51 | 19 | 70 |
| 2017 Diciembre | 76 | 8 | 84 |
| 2017 Noviembre | 48 | 16 | 64 |
| 2017 Octubre | 31 | 14 | 45 |
| 2017 Septiembre | 38 | 19 | 57 |
| 2017 Agosto | 41 | 26 | 67 |
| 2017 Julio | 18 | 16 | 34 |
| 2017 Junio | 35 | 32 | 67 |
| 2017 Mayo | 22 | 14 | 36 |
| 2017 Abril | 21 | 27 | 48 |
| 2017 Marzo | 17 | 38 | 55 |
| 2017 Febrero | 22 | 23 | 45 |
| 2017 Enero | 21 | 14 | 35 |
| 2016 Diciembre | 36 | 33 | 69 |
| 2016 Noviembre | 35 | 31 | 66 |
| 2016 Octubre | 31 | 49 | 80 |
| 2016 Septiembre | 1 | 23 | 24 |
| 2016 Agosto | 0 | 10 | 10 |
| 2016 Julio | 2 | 7 | 9 |
| 2016 Junio | 0 | 7 | 7 |
| 2016 Mayo | 0 | 12 | 12 |
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