الفهرس 
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Abstract
Prospective study of 48 patients with extratrunkal, hemangioma and 24 patients with peripheral vascular malformation. Hemangioma cases were 21 males and 27 females, their mean age at presentation was 6 months. They were distributed in face 37 cases, neck 3 cases, upper limb 2 cases, lower limb 4 cases and scalp 2 cases. Vascular malformation cases were 19 males and 5 females, their age at presentation was 15 years. They were distributed in face 5 cases, neck 2 cases, upper limb 8 cases, lower limb 8 cases and scalp one case.
All patients were submitted to thorough history and complete clinical examination both general and local. All cases were evaluated by US and duplex to assess size, nature and depth of the lesions. All cases of vascular malformations were evaluated by MPI to assess size, shape, extent, relation to surrounding soft tissues and 11 cases of them were evaluated by CTA to assess their relation to vessels.
from this study, we found that in very small hemangioma less than 1cm size the conservative treatment and follow up of patients showed spontaneous resolution in most cases. In small hemangioma (1-3 cm size), local injection of corticosteroid gave beneficial results in most of the cases. In large hemangioma more than 3 cm size, inderal therapy gave good results. Surgical excision of hemangioma is indicated in cases where there is partial response to local injection of corticosteroid and/or inderal therapy. In vascular malformations, surgical excision is indicated in patients with focal and well-defined lesions. In extensive lesions injection sclerotherapy is indicated at first followed by surgical excision. In very extensive lesions involving the whole limb conservative treatment is recommended. This study is an indication for further studies in the same subject in the future.