Case Of Intramuscular Hemangioma Research Articles

Intramuscular Hemangioma of the Masseter and Mentalis Muscles with the Turkey Wattle Sign and Phleboliths-A Case Report

Intramuscular hemangiomas are uncommon benign tumors in the head and neck region. The masseter muscle is the most commonly involved muscle in the orofacial region, but simultaneous involvement of both the mentalis and masseter muscles has not yet been reported. Preoperative diagnosis of such lesions is difficult because of the rarity of such tumors, their deep intramuscular location, and their unfamiliar clinical presentation. A case of intramuscular hemangioma of the masseter and mentalis muscles in a young Indian male patient is presented with a review of the role of various imaging modalities in such tumors.

Intramuscular hemangioma of the scalene musculature masquerading as a paraganglioma: A case series

Intramuscular hemangiomas (IMHs) are uncommon benign vascular lesions, which develop in skeletal muscle. Herein, two cases of IMHs involving the cervical scalene musculature are presented. Such lesions are exceedingly rare, and can be difficult to distinguish from vagal paragangliomas based on clinical presentation, exam, and radiography. Complete surgical excision is the treatment of choice, and was successful in our two index patients. While rare, IMHs of the scalene muscles should be considered in the differential diagnosis of deep neck space masses.

Intramuscular Hemangioma of the Scalene Masquerading as a Paraganglioma: A Case Series

Objectives: The objectives of this study are to (1) report two cases of intramuscular hemangioma (IMH) of the scalene musculature masquerading as a paraganglioma, and (2) discuss the management of IMH of the head and neck (HN).

A Case of Intramuscular Hemangioma of the Posterior Cricoarytenoid Muscle

Intramusucular hemangioma is a benign neoplasm frequently arising from the skeletal muscles of the trunk and extremities. Involvement of the head and neck by this tumor is rare, even though the majority of such tumors originate from the masseter and the trapezius. Preoperative diagnosis is very difficult because of the rarity and the distribution of these tumors in the deep space. We report on a rare case of intramuscular hemangioma, involving the posterior cricoarytenoid muscle. A 82-year-old female patient with an abnormal sensation in her throat, was found to have a tumor in the left piriform sinus. Thus we performed biopsies twice, but the pathology was not confirmed, with a report of just normal mucosa. However we speculated that the tumor was benign and so performed a lateral neck exploration. The tumor was completely removed. Histological examination revealed it to be an intramuscular hemangioma of the skeletal muscle. Based on the intraoperative findings of the tumor, we diagnosed it as an intramuscular hemanginoma originating from the posterior cricoarytenoid muscle. As the posterior cricoarytenoid muscle opens the glottal space, the left vocal cord was fixed medially after the surgery. Nevertheless its tonus appeared fine and phonetic function remained normal.

Intramuscular haemangioma and periosteal new bone formation on the adjacent bone: case report and literature review

We present a rare case of intramuscular haemangioma of the tibialis anterior adjacent to bone in a 32-year-old woman with the history suggestive of right tibial fracture. Plain radiographs showed an hypertrophic periosteal reaction and a thickening on the cortical shaft of the tibia. MRI revealed an intramuscular mass adjacent to the bone with inhomogeneous high signal intensity. The lesion was treated by resection of the soft-issue mass. The patient remained asymptomatic 30 months post-operatively with no signs of recurrence. These lesions mimic periosteal or parosteal tumours.

Intramuscular hemangiomas of the extremities: report of six cases

Hemangiomas are benign endothelial cell-derived tumors that are present in 1-2% of newborns. They are most frequent in females. Eighty per cent are located in the head and neck region. Intramuscular hemangiomas represent 0.8% of all cases. They are characterized by rapid endothelial growth. Treatment is indicated for lesions that have an organic or visceral location or those that present with deformities. Six cases of intramuscular hemangioma are presented. They were collected during the period June 2003 to November 2005 from all surgical cases seen at the Department of Cardiovascular Surgery, Hospital General "Dr Manuel Gea Gonzalez," Mexico City, Mexico. Their clinical appearance, treatment, and outcomes are discussed. There were five women and one man with a mean age of 24.6 years (15-44 years). Two hemangiomas were located on the upper extremities and four on the lower extremities. All six patients were treated by surgical resection. Four cavernous hemangiomas were revealed during microscopic examination. At 1-3 years of follow-up, there were no recurrences and the functional and aesthetic results were good. Intramuscular hemangiomas are rare. Lesions of the extremities are even rarer. Surgical excision in the six cases described here resulted in cure with good functional and cosmetic outcomes.

Intramuscular hemangioma of the masseter muscle: a case report

Intramuscular hemangiomas are uncommon neoplasm's arising most frequently in the masseter and trapezius muscle. Due to it's location it is often mistaken for a parotid swelling and rarely is an accurate pre-operative diagnosis achieved clinically. The intra masseteric location also poses special problem in terms of proximity to the facial nerve and the post operative flattening following excision of the masseter muscle. A case of intramuscular hemangioma in a 17 year old girl is presented. Inadequacy of computed tomography scan and cytology in achieving a pre-operative diagnosis and also the treatment modalities are reviewed here. An estrogen receptor and progesterone receptor study has been done to verify the hormonal basis of this tumour.

Intramuscular haemangioma of flexor digitorum brevis

Intramuscular haemangioma of the foot is rare. We present two cases of intramuscular haemangioma in the flexor digitorum brevis (FDB). All of our patients presented with painful mass in the sole. Subsequent ultrasound and magnetic resonance imaging suggested intramuscular haemangioma of FDB muscle. We have performed en-bloc excision in both of our cases, and long-term follow up showed no functional deficit or recurrence of the lesion.

Intramuscular hemangioma presenting with periosteal reaction: report of two cases and review

We describe two cases of intramuscular hemangioma who presented with periosteal reaction on radiographs. One of the patients had extensive involvement of fibula and part of tibia whereas the other had localized involvement of radius. Both of the cases were diagnosed with MRI and confirmed histologically. With adequate treatment, both of the patients were relieved of symptoms and remained asymptomatic till the last follow-up.

Intramuscular cavernous hemangioma of the sternocleidomastoid muscle: An unusual neck mass

The first report of a case of intramuscular hemangioma is attributed to Liston in 1843, which called this entity an “erectile tumor.” Intramuscular hemangiomas (IH) are rare, benign vascular neoplasms frequently arising within the skeletal muscle of the trunk and extremities. These account for less than 1% of all hemangiomas, and head and neck involvement is considered unusual, occurring in this region only in 15% of IH. IH usually present in the second and third decades of life, with a slight male preponderance. The masseter and the trapezius muscles represent the most common site of involvement in head and neck areas. Nevertheless, fewer than 10 cases of IH of the sternocleidomastoid have been reported in the literature. A 32-year-old woman presented with a 6-month history of a single, asymptomatic, palpable mass of the right neck that recently increased in size. No history of cervical trauma prior to the appearance of the swelling was reported. Clinically, the mass was localized to the right neck centered about the middle portion of the sternocleidomastoid muscle. It was mobile on the deep planes, tender, and nonpulsatile. CT revealed a 2.5 1 cm, solid, ovoidal, dyshomogeneous mass within the sternocleidomastoid muscle, with peripheral calcifications. Gadolinium-enhanced MRI showed a diffusely enhancing, well-defined soft tissue lesion that demonstrated a low signal on the T1-weighted and a typical high signal on the T2-weighted MRI (Fig 1). Angiography showed no obvious feeder vessels. Echo-color Doppler showed rare arterial spots with absent venous component. The remarkable arterial resistance of the lesion was due to a probable venous thrombosis. The patient underwent transcervical surgical resection of the mass without complications. The vascular mass, predominantly consisting of venous vessels (“cavernous veins”) with partial thrombosis, was completely removed, preserving most of the sternocleidomastoid muscle and the spinal nerve. Postoperative course was uneventful and the patient was discharged early. The surgical specimen showed medium-sized and thin-walled vessels that were lined with a flattened endothelial layer and surrounded by a poorly developed and variably evident smooth-muscle sheath. The final histo-

Intramuscular Hemangioma of the Lower Lip

We report a case of intramuscular hemangioma in the lower orbicularis oris muscle. A 5-year-old boy presented a fairly firm mass in the lower lip. The mass was noticed a few weeks after birth and had been progressing slowly for years. On histology, proliferating vascular channels infiltrated diffusely the skeletal muscle, adipose, and connective tissue. The vascular channel was lined inside by endothelium and varying amounts of component smooth muscle.

胸鎖乳突筋に発生した筋肉内血管腫例

胸鎖乳突筋に発生した筋肉内血管腫例

A Case of Intramuscular Hemangioma in Pectralis Major Muscle Suspected as a Breast Tumor in Young Female

A Case of Intramuscular Hemangioma in Pectralis Major Muscle Suspected as a Breast Tumor in Young Female