This book is authored by two dermatologists: Omar P.
Sangüeza, MD, from the Departments of Pathology
and Dermatology, Wake Forest University School of
Medicine, in Winston-Salem, North Carolina; and Luis
Requena, MD, from the Department of Dermatology at
the Universidad Autonoma in Madrid, Spain. It is part
of Current Clinical Pathology, Ivan Damjanov, MD, be-
ing the series editor.
In the preface, the authors justify this book, stating
that “cutaneous vascular proliferations are exceedingly
common and affect a large number of individuals”.
They further mention that these lesions range “from
hamartomas to highly malignant, aggressive neo-
plasms”. They state there are no recent textbooks on
this subject, and that is another reason for this book.
They also note that it provides “a comprehensive and in
depth review of all vascular proliferations involving the
skin and subcutaneous tissues, including recently de-
There are three parts to the book, the first being on
classification and nomenclature of vascular neoplasms.
In this the authors have inserted a new classification
which they hope is more orderly. The second portion
deals with benign proliferations, and the final part is de-
voted to malignant vascular proliferations. These range
from Kaposi’s sarcoma to angiosarcoma.
There are 11 chapters, the first on embryology, anato-
my and histology of the vasculature of the skin. The sec-
ond is on special techniques for the study of vascular
proliferations, next is a classification of cutaneous vas-
cular proliferations, then comes cutaneous vascular ham-
artomas, cutaneous vascular malformations, cutaneous
lesions characterized by dilatation of preexisting vessels,
cutaneous vascular hyperplasia, benign neoplasms, ma-
lignant neoplasms, other cutaneous neoplasms having a
vascular component, and disorders erroneously consid-
ered as vascular neoplasms. Thus, one can see that the
whole gamut of vascular lesions is covered.
Although this book is filled with the descriptions of
clinical features of these lesions, and also the histologi-
cal features, there is very little in the way of treatment of
major vascular conditions. This, to my mind, is rather to
be expected since both of these authors are basically cli-
nicians, being dermatologists. For the surgeon, this is a
book to dip into from time to time, when confronted with
a vascular malformation.
Unfortunately, the book has one significant problem,
and that is that virtually all the illustrations are in black-
and-white. Naturally, this is to reduce the cost, which is
admirable but often this leaves a lot to be desired in
terms of truly recognizing the characteristics of some of
these less-common conditions. I do not feel that this is a
book for the general plastic surgeon, but I think it would
find a place on the shelves of those who are interested in
this complex but exciting area of vascular skin lesions
and vascular tumors. The references are extensive, and
would be useful when researching unusual conditions. A
CD-ROM is included with the book.
I. T. Jackson (
Institute for Craniofacial and Reconstructive Surgery,
Southfield, MI 48075, USA
Eur J Plast Surg (2003) 26:329
Ian T. Jackson
O.P. Sangüeza, L. Requena: Pathology of vascular skin lesions:
Humana Press, 2003. 319 pp, 1 CD-ROM (ISBN 1-58829-182-0) USD 135.00
Published online: 11 June 2003
© Springer-Verlag 2003