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Special Section of JCS Addresses Vascular Anomalies

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Fortunately, recent years have seen progress in the understanding of vascular anomalies and the development of appropriate treatment protocols. The 20 articles in the Special Section offer "a thorough synopsis" of current scientific understanding of vascular anomalies, their clinical appearance and development, the associated problems, and the treatment options, according to Section Editor Dr. Seth Thaller of the University of Miami.

Dr. Thaller stresses the need for multidisciplinary evaluation to ensure precise identification of vascular anomalies. This information is vital for management decisions—whether it is appropriate to monitor the lesion or to recommend one of several treatment options, alone or in combination.

The development of effective laser techniques has been a major advance in the treatment of vascular anomalies. In a new treatment advance, laser treatment may be performed "intralesionally"—from the inside out. When needed for larger, more complex vascular lesions, modern surgical techniques and skin grafts provide good results. If these procedures are done in childhood, any resulting scars are more easily managed by plastic surgery later on. In some situations, certain drug therapies may play a role.

Several articles in the Special Section outline the current treatment strategies and techniques for patients with hemangiomas and other vascular anomalies. Some authors focus on specific approaches for patients with more complex or rare vascular lesions. Others highlight advances in understanding genetic factors contributing to the development of vascular lesions, which may one day lead to new treatment alternatives.

The goal of the Special Section is to draw attention to the need for a rational, scientifically based approach to diagnosis and treatment of vascular anomalies. Dr. Thaller writes, "Successful management of these challenging lesions requires vigilant planning and diagnosis, proper
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