Intramuscular Hemangioma Research Articles

Intramuscular Hemangiomas

Context:Intramuscular hemangiomas are common in the general population and often present at medical and surgical clinics. Unfortunately, unfamiliarity with these lesions has led to a high percentage of misdiagnoses, inappropriate workup, and unnecessary referrals.Evidence Acquisition:A literature search was performed using Medline, Embase, PubMed, and Cochrane. The relevant articles and referenced sources were reviewed for additional articles that discussed the epidemiology, pathophysiology, investigation, and management of intramuscular hemangiomas. Clinical experience from experts in orthopaedics, musculoskeletal pathology, and musculoskeletal radiology was compared. The selected case studies are shared cases of the authors.Results and Conclusion:The pathophysiology of these lesions is not completely understood, but much can be implied from their underlying vascular nature. Isolated lesions are benign tumors that never metastasize but tend to enlarge and then involute over time. Magnetic resonance imaging is the imaging modality of choice. If a systemic disorder or malignancy is not suspected or has been ruled out, conservative management is the treatment of choice for most intramuscular hemangiomas.

Intractable pain due to rectus abdominis intramuscular haemangioma

Haemangiomas are tumours of vascular origin accounting for approximately 7 % of all benign tumours. Three types of haemangioma have been described according to the vessel type involved: capillary, cavernous and mixed. Intramuscular haemangiomas (IMHs) are infrequent, accounting for less than 1 % of all haemangiomas and are mostly located in the extremities and the trunk. Intramuscular haemangiomas of the rectus abdominis muscle are extremely rare, with only one previous case reported in the literature to the best of our knowledge. In this report, we present the case of a patient with intractable pain related to IMHs of the rectus abdominis and we analyse diagnostic assessment and surgical management of the condition.

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 Flexor Digitorum Brevis Muscle

A n 8-yr-old girl was referred to the authors’ outpatient clinic with a palpable painful mass in the medial plantar surface of her right foot. The pain had started 1 yr before and was not associated with any major trauma. Initially, the patient had no swelling, but there later developed a painful mass. Her pain and swelling increased with standing and walking and were relieved by rest. She went to several different specialists who had suggested a variety of different treatments such as nonsteroidal anti-inflammatory drugs, insoles, and ankle support for diagnoses such as plantar fasciitis, pes planus, and tendinitis. Upon admission into our clinic, there was a prominent painful mass on her right sole; the mass was soft, tender on palpation, and nonmobile. No other pathological finding was noticed. No bony abnormalities were present in the patient’s existing x-rays of the foot and ankle. A magnetic resonance imaging of the foot was therefore performed, which demonstrated a 4.1 1.7 1.1Ycm intramuscular hemangioma of the flexor digitorum brevis muscle (Fig. 1). The lesion was removed surgically, and postoperative histological examination of the lesion confirmed the diagnosis. Intramuscular hemangiomas are benign soft-tissue tumors which represent less than 1% of all hemangiomas. Although intramuscular hemangiomas are commonly found in the lower limbs, especially in the thigh, foot involvement is extremely rare, and only a few cases have been reported. They are mostly seen in young adults and are usually present with pain and/or swelling. Direct radiography may not give any evidence, and the correct diagnosis may be delayed until the patient presents with softtissue swelling. The diagnosis is mainly based on clinical examination and magnetic resonance imaging and confirmed through histological examination. Even though intramuscular hemangiomas are very rare in the foot, they may need to be considered in a differential diagnosis.

A rare cause of carpal tunnel syndrome: Intramuscular haemangioma of the forearm about one case

A rare cause of carpal tunnel syndrome: Intramuscular haemangioma of the forearm about one case

A clinical observation to diagnose parotid hemangioma.

A clinical observation to diagnose parotid hemangioma is presented in this article. A hemangioma can be made to distend by blocking its venous outflow. If a distended hemangioma is located within the parotid gland, it stretches the parotid capsule. Thus application of pressure over parotid venous outflow causes the hemangioma to bulge, thereby stretching the parotid capsule. It makes the outline of the gland clinically apparent. This observation is useful to differentiate a hemangioma present in the parotid gland from one that is placed outside the gland like an intramuscular hemangioma of the masseter muscle or internal jugular phlebectasia.

Intramuscular cavernous hemangiomas arising from masseter muscles

Intramuscular hemangiomas are rarely seen benign tumors, constituting %1 of all hemangiomas. They mostly occur in the trunk and extremities. They are uncommon in the head and neck region and arising most frequently from masseter and trapezius muscle. The patients usually complain about progressive and painless swelling in facial-parotid region. Due to its location, 90% of all intramuscular hemangiomas are misdiagnosed and often clinically mistaken as a parotid swelling. Radiologic images play important role for diagnosis of these hemangiomas.

Airway Management and Lung Isolation in a Patient With a Massive Cavernous Hemangioma of the Tongue

INTRAMUSCULAR HEMANGIOMAS are common vascular tumors, yet only approximately 14% are found in the head and neck region. 1 Ivey D.M. Delfino J.J. Sclaroff A. et al. Intramuscular hemangioma: Report of a case. Oral Surg Oral Med Oral Pathol. 1980; 50: 295-300 Abstract Full Text PDF PubMed Scopus (20) Google Scholar Invasive muscular hemangiomas are even more uncommon, making up less than 1% of these tumors, and massive cavernous variations are only described anecdotally. 2 Tasker L.J. Geoghegan J. Giant cavernous haemangioma of the tongue. J Anesth. 2005; 60: 1043 Crossref Scopus (4) Google Scholar A unique risk to this lesion is uncontrolled hemorrhage, and several fatalities have been described. 3 Lamberg M.A. Tasanen A. Jääskeläinen J. Fatality from central hemangioma of the mandible. J Oral Surg. 1979; 37: 578-584 PubMed Google Scholar There is no detailed description of airway management in this patient population, and the present case report highlights important considerations in performing safe endotracheal intubation followed by lung isolation.

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).

Intramuscular hemangioma presenting with multiple phleboliths: a case report

A rare case of intramuscular hemangioma of the masseter muscle with multiple phleboliths is described, highlighting features evident in plain radiography, ultrasound, and magnetic resonance imaging (MRI). A 21-year-old woman presented with a complaint of swelling of the right masseter muscle. A plain radiograph from the soft tissue of the right cheek showed a large number of round, target-like radiopacities that varied in size. Ultrasound revealed a lobulated cystic lesion in the right masseter muscle with increased echogenicity. MRI showed a space-occupying lesion in the right masseter muscle, which was isointense on T1-weighted image close to the muscle tissue and hyperintense on T2-weighted image, containing fields with no signal septations. A plain soft tissue radiograph can demonstrate phleboliths and aid in the diagnosis of an intramuscular hemangioma. In addition, nonionized techniques such as ultrasound and MRI can provide useful information to clinicians regarding the location of calcifications and the structure of masses.

Ultrasound-guided core-needle biopsy and magnetic resonance imaging in the accurate diagnosis of intramuscular haemangiomas of the head and neck

Intramuscular haemangiomas of the digastric muscle are often misdiagnosed due to their low incidence and non-specific manifestation. Only two out of six previously reported cases were diagnosed correctly before excision. Ultrasound may not reveal their vascularity, and fine-needle aspiration biopsy is unhelpful as it reveals only blood. A case of intramuscular haemangioma of the posterior belly of the digastric muscle is described. Previously reported cases are reviewed. Investigations used to diagnose the lesions and reasons for their common failure are discussed. Core-needle biopsy led to the correct histological diagnosis, and magnetic resonance imaging precisely located the lesion within the digastric muscle. Core-needle biopsy was safely used in the diagnosis of an intramuscular haemangioma. The combination of core-needle biopsy and meticulous review of magnetic resonance imaging enables accurate diagnosis pre-operatively.

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.

Delayed diagnosis of limb deformities for intramuscular hemangioma—a case report—

Delayed diagnosis of limb deformities for intramuscular hemangioma—a case report—

Giant intramuscular haemangioma of the chest wall with osteolytic change

Intramuscular haemangioma of the chest wall is very rare, and only few cases associated with rib destruction has been reported. Here, we describe a 37-year old woman with a giant intramuscular haemangioma arising in the left back and associated with rib destruction.

Post-traumatic Intramuscular Hemangioma of the Chest Wall

Intramuscular hemangioma originated in chest wall is a rare benign tumor, with no relevant reports in Korea. In most cases, the tumor is discovered before the age of 30 years and it is reported that trauma operates as the initiation factor. It is essential to concern the clinical suspicion and conduct a CT scan for diagnosis. The principle of treatment is surgical excision with clear resection margin. The authors of this study report a case of surgical excision for post-traumatic intramuscular hemangioma of the chest wall with review of literature.

Multiple radio-opacities in an opg: a case report of cavernous haemangioma of temporalis muscle with multiple phleboliths

Intramuscular haemangiomas of the head and neck region are rare. They may present as an incidental finding, a mass or swelling, pain, tenderness, limitation of movement or cosmetic deformity. Treatment depends on the clinical signs and symptoms. Because of the apparent rarity of this lesion, we report a case of an incidental finding of multiple radio-opacities in a dental panoramic tomograph that was diagnosed as cavernous haemangioma in temporalis muscle with multiple phleboliths.

Klippel-Trenaunay syndrome associated with bladder hemangioma: a case report and literature analysis

Objective To discuss the treatment of a rare case of Klippel-Trenaunay syndrome associated with bladder hemangioma and conduct a brief literature review. Methods A 23-year-old female manifested episodes of painless hematuria for 1 month.A biopsy by cystoscopy diagnosed angiomatosis.The patient had a history of left lower limb hemangioma for 23 years,and underwent 3 surgical operations at 3 months old,3 years old,and 13 years old.The left leg was longer than the right leg.There was some soft tissue hypertrophy in the left lower extremity.Ultrasonography showed a bladder mass.Cystoscopy revealed a 3 cm x 5 cm sized hemangiomatous on the left lateral and anterior wall of the bladder. Results The patient was diagnosed with bladder hemangioma and Klippel-Trenaunay syndrome.Partial cystectomy was performed.The pathological diagnosis was bladder intramuscular hemangioma. Conclusion Klippel-Trenaunay syndrome associated with bladder hemangioma can be treated by partial cystectomy. Key words: Urinary bladder neoplasms; Hemangioma; Klippel-Trenaunay-Weber syndrome; Diagnosis; Surgical procedures, operative

Poster 195 Intramuscular Hemangioma of the Left Gastrocnemius Muscle in a High School Basketball Player: A Case Report

Poster 195 Intramuscular Hemangioma of the Left Gastrocnemius Muscle in a High School Basketball Player: A Case Report

Seltenes intramuskuläres Hämangiom des M. sternocleidomastoideus

Intramuscular tumours of the head and neck often represent a differential diagnostic challenge. We report the rare case of an intramuscular haemangioma arising from the sternocleidomastoid muscle in the 6th decade. Pre-operative diagnosis was difficult, as these tumours are extremely uncommon in the head and neck region, with only very few cases reported in the literature. Due to the marked tendency of intramuscular hemangiomas to recur, accurate preoperative diagnosis forms the basis of adequate surgical therapy with sufficient safety margins.

Intramuscular Hemangioma of the Masseter: Erectile Hemangioma

ABSTRACTIntramuscular hemangiomas are rare benign congenital neoplasms of vascular origin. They account for less than 1% of all hemangiomas and less than 20% of these are found in head and neck and present in 2nd and 3rd decade. The masseter is the most frequently involved site in the head and neck. Because of their infrequency, deep location and unfamiliar presentation, these lesions are seldom correctly diagnosed clinically and usually present as facial swelling causing facial asymmetry. A case of intramuscular hemangioma occurring in masseter muscle of an 8-year-old girl is presented here. Ultrasonography, color Doppler and Gd-enhanced MRI were performed and a presumptive diagnosis of hemangioma was considered which was subsequently confirmed by excision biopsy.