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Mulliken & Young’s Vascular Anomalies: Hemangiomas and Malformations. Second Edition

Burns, A. Jay M.D.

Plastic and Reconstructive Surgery: May 2015 - Volume 135 - Issue 5 - p 1505–1506
doi: 10.1097/PRS.0000000000001232

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Arun K. Gosain, M.D.

Review Editor

I commend Drs. Mulliken, Burrows, and Fishman on this outstanding book. When the first edition was published in 1988, Mulliken and Young’s Vascular Anomalies: Hemangiomas and Malformations rapidly became the seminal textbook on the subject. Over the past 25 years, the field of vascular anomalies has developed dramatically, and this second edition textbook does justice to both the gains in knowledge and the remaining challenges.



The book is organized into four parts. The first part covers the historical and cultural background of vascular birthmarks. For any clinician entering the field, the chapter on classification of vascular anomalies will clarify much confusion regarding terminology by laying down the historical context for the modern classification system. The second part is on infantile hemangiomas and other vascular tumors, with chapters dedicated to pathogenesis, diagnosis, natural history, radiologic imaging, and treatment of hemangiomas. The third and fourth parts focus on vascular malformations. These chapters encompass the full spectrum of vascular malformations: molecular genetics, clinical assessment, use of imaging, and histopathology. Chapters in this section have a specific focus on treatment modalities and chapters dedicated to the management of vascular malformations in challenging anatomical areas such as the central nervous system, extremities, and visceral organs. In addition, the authors have included a glossary that provides not only definitions but also synonyms for commonly used terms. This is a useful resource to clarify residual misuse of vocabulary.

One of the great strengths of this textbook is its interdisciplinary focus and scope. Successful management of patients with vascular anomalies requires an integrated team approach, drawing from the skills of many specialties. This textbook provides clinical expertise from the fields of interventional radiology, pathology, orthopedics, and psychology. As a result, this textbook would be educational and extremely informative to any specialist interested in vascular anomalies, both those seeking a global overview and those seeking a detailed instructional level specific to their specialty. I was pleased to read the depth of discussion in each of these specialty-focused chapters. There are no superficial, space-filler sections in this book.

In any book about vascular anomalies, photographs are of critical importance. This book has hundreds of clinical case examples with detailed, chronologic photodocumentation. Many of these cases demonstrate the effect of time and treatment modality on the patient’s vascular anomaly, allowing the reader to gather the pearls of over 25 years of clinical experience.

On first glance, the reader new to vascular anomalies may be frustrated by the fact that this book is not organized as a rapid reference text where one can simply look up a specific condition to find a quick summary of how to treat. However, as one develops experience in the management of vascular anomalies, one learns that simple and quick answers are rare in this complex and rapidly changing area of study.

In summary, this is an outstanding and invaluable book that once again will stand as the classic text for the field of vascular anomalies. The authors have written a book that is both meticulously and comprehensively referenced and that is well written. It should be mandatory reading for anyone even remotely interested in this fascinating field of study.

A. Jay Burns, M.D.



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