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Thread: Hemangioma- Viva Question

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    Default Hemangioma- Viva Question



    Q. What is your diagnosis ?
    A. Cavernous haemangioma of the ......(mention
    the site).........


    Q. Why this is a haemangioma ?
    A. Because it is a skin swelling dating since birth
    (may be shortly after), it is pink in color and
    compressible.


    Q. Why the haemangioma is compressible ?
    A. Haemangioma consists of multiple blood-filled
    vascular spaces. These spaces communicate with
    the surrounding veins. Haemangioma is
    compressible because its contained blood empties
    into the veins communicating with the
    haemangioma.


    Q. What are the compressible swellings you
    know ?

    A. Haemangiomas, lymphangiomas, aneurysms,
    pharyngeal pouch, saphena varix, varicocoele,
    pneumatocoele, laryngeocoele, tracheocoele and
    hernias.


    Q. What is the commonest site of a
    haemangioma ?

    A. The head and neck region.


    Q. Does it affect internal organs ?
    A. Yes, for example the liver and spleen.


    Q. What are the different types of
    haemangioma you know ?

    A. The different types of haemangioma are :
    1. Capillary Haemangioma :
    Port wine stain, Strawberry angioma, Salmon
    patch, Spider naevi
    2. Venous Haemangioma (Cavernous
    haemangioma)
    3. Arterial Haemangioma (Circoid aneurysm)

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    Q. What is the commonest complication of a
    haemangioma ?

    A. Haemorrhage.


    Q. What is the treatment of a cavernous
    haemangioma ?

    A. The different lines of treatment are :
    1. Injection of a sclerosant material
    2. Embolization injection
    3. Surgical excision
    4. Laser radiation


    Q. As regards injection sclerotherapy, what is
    the commonest material to be used ?

    A. Ethanolamine oleate.


    Q. What do you mean by embolization
    injection ?

    A. That is the injection of some material into the
    feeding artery of the haemangioma through
    angiography to produce occlusion of this artery
    and so necrosis of the haemangioma.


    Q. What are the famous materials to be used
    in this regard ?

    A. Gelfoam, alcohol foam and silicon particles.


    Q. What is a hamartoma ?
    A. A hamartoma is "a developmental tumour-like
    malformation characterized by being formed of the
    same tissues particular to the part of their origin
    and these tissues are arranged in a haphazard
    fashion. It is also characterized by a rate of
    growth similar to the surrounding structures".


    Q. Mention the different types of
    hamartomas you know ?

    A.
    1. Haemangiomas 2. Lymphangiomas
    3. Neurofibromas 4. Benign naevi.

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    Q. What are the types of lymphangioma ?
    A. There are two types :
    1. Capillary lymphangioma (lymphangioma
    circumscriptum)
    2. Cavernous lymphangioma (cystic hygroma)


    Q. What is the commonest site of a cystic
    hygroma ?

    A. The neck.


    Q. Is lymphangioma compressible or not ?
    A. Lymphangioma is partially compressible.


    Q. A cavernous lymphangioma in the neck
    has a character that differentiates it from
    other neck cysts, what is this character ?

    A. It is the only translucent neck cyst.

    Q. When does it become opaque ?
    A. When it becomes infected


    Q. What are the types of neurofibroma ?
    A.1. Solitary neurofibroma
    2. Generalized neurofibromatosis (von
    Recklinghausen's disease of nerves)
    3. Molluscum fibrosum
    4. Plexiform neurofibroma (pachydermatocoele)
    5. Elephantiasis neuromatosa


    Q. Mention the types of benign pigmented
    naevi (moles) ?

    A. Benign pigmented naevi include the following
    types :
    1. Intradermal naevus
    2. Junctional naevus
    3. Compound naevus
    4. Blue naevus
    5. Juvenile naevus
    6. Congenital giant naevus
    7. Halo naevus
    8. Spindle cell naevus
    9. Naevus of Ota
    10. Naevus of Spilus
    11. Lentigo


    Q. At what age do benign pigmented naevi
    start to appear ?

    A. They present in childhood and adolescence,
    rarely they present at birth.


    Q. What are the characteristic features of
    congenital giant naevus ?

    A. It is present since birth, may occupy very large
    areas of the body, usually hairy, and what is more
    important is that it is precancerous in about 15%
    of the cases.

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    Thanks, made good revision (never mind the fact that we just had endocrinology a couple weeks ago )

    Is it from some clinical exam or your own making ?
    The life so short, the craft so long to learn.
    Hippocrates

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    Very Informative

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    Excellent compilation dude! Gr8 work.
    EnJoY!
    If u like my contribution, add to my Reputation (Rep)!!
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    Default one more question...

    What is Kasabach–Merritt syndrome (KMS)?

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