Progressive vascular tumor in infant: A case report and literature review of PIK3CA vascular malformation.
Childs Nerv Syst
; 40(4): 1005-1010, 2024 Apr.
Article
in En
| MEDLINE
| ID: mdl-38265477
ABSTRACT
PURPOSE:
Vascular anomalies are classified as either vascular tumors or vascular malformations. Vascular malformations can be difficult to diagnose and treat in the pediatric population and can masquerade as malignant processes. Understanding the genetics behind vascular malformations can lead to identification of specific mutations which can be treated with targeted immunotherapy.METHODS:
Our case presents a pediatric patient with progressively enlarging vascular malformation despite multiple surgical resections and systemic medical treatments who underwent genetic evaluation and was found to have PIK3CA mutation.RESULTS:
After identification of PIK3CA mutation, our patient was successfully treated with the p110É-specific inhibitor, alpelisib, with both shrinkage of malformation on follow-up imaging as well as gains in her developmental milestones.CONCLUSION:
Progressive vascular malformations in the pediatric population can be hard to diagnose and treat and are thought to arise from somatic mutations. Our case highlights a patient with progressive malformation despite multiple surgical resections who was successfully treated with targeted immunotherapy after proper identification of genetic mutation.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Vascular Neoplasms
/
Vascular Malformations
Limits:
Child
/
Female
/
Humans
/
Infant
Language:
En
Journal:
Childs Nerv Syst
Journal subject:
NEUROLOGIA
/
PEDIATRIA
Year:
2024
Document type:
Article
Affiliation country:
United States
Country of publication:
Germany