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Book and New Media Reviews
October 2003

Pathology of Vascular Skin Lesions: Clinicopathologic Correlations

Author Affiliations



by Omar P. Sangüeza and Luis Requena, 319 pp, with CD-ROM, $159.50, ISBN 1-58829-182-0, Totowa, NJ, Humana Press, 2003.

Arch Dermatol. 2003;139(10):1377. doi:10.1001/archderm.139.10.1377

Cutaneous vascular lesions have long been a source of puzzlement to both clinicians and pathologists. There is no well-accepted classification scheme; many lesions are so rare that only a handful of experts have experience with them; and in the case of some tumors, the basic question of "benign vs malignant" has required decades to answer.

Pathology of Vascular Skin Lesions goes a long way toward addressing all these problems. Both Sangüeza and Requena are acknowledged as belonging to the inner circle of vascular tumor experts. They have shown courage in proposing a new method of classifying vascular skin lesions. I happen to agree with most of their decisions; those who disagree can simply be asked, "Where is your classification scheme and convince me that it is better." I doubt if anyone will step forward with a more workable approach. After a brief but authoritative introduction, the authors systematically explore the topics of hamartomas, malformations, dilation of existing vessels, hyperplasias, benign tumors, and malignant tumors.