Intramuscular haemangioma of the extremities: is computerized tomography useful?

Christenson, Jan T.; Gunterberg, Björn

doi:10.1002/bjs.1800720927

Cited by 9 publications

(1 citation statement)

References 13 publications

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“…11 A group of patients investigated with computed tomography revealed that nine out of 12 lesions were more extensive when explored at surgery. 12 A review by McNeill and Ray 4 in 1974 of intramuscular haemangioma revealed: N better outcome if lesion localised N good results with complete excision N partial excision resulted in continued symptoms N limited success if treated non-operatively N amputation is a last resort Partial excision is associated with an 18% recurrence rate 13 because of the infiltrative growth pattern. None metastasised.…”

Section: Discussionmentioning

confidence: 99%

Intramuscular haemangioma of the thigh in a basketball player

2004

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Section: Discussionmentioning

confidence: 99%

Intramuscular haemangioma of the thigh in a basketball player

2004

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Hemangioma of skeletal muscle

Wild

Raab

Krauspe

2000

Arch Orth Traum Surg

104

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Intramuscular hemangiomas are rare benign tumors, making up 0.8% of all hemangiomas. They are of interest to the surgeon because their location may present considerable therapeutic challenge since radiographic work-up of the soft- tissue mass by magnetic resonance imaging (MRI) may be suspicious for malignancy. The definitive diagnosis is made by histological study of the surgical and/or biopsy specimen. Patients with intramuscular hemangiomas may have soft-tissue complaints, such as pain and swelling, present for years. The gross and microscopic appearance of intramuscular hemangiomas is variable. Grossly, the capillary type is nonvascular and spongy in appearance, whereas the cavernous type is composed of large, thin-walled, dilated vessels lined by flattened endothelial cells. In general, wide excision is the treatment of choice to prevent local recurrence, but every patient with intramuscular hemangioma should be treated individually after evaluating the tumor location, accessibility, and depth of invasion, the patient's age, and cosmetic considerations. From October 1, 1989, to June 30, 1997, 11 patients underwent surgical treatment with the definitive histological diagnosis of intramuscular hemangioma. Pain upon activity but also at rest as well as swelling were the major symptoms. The average duration of symptoms was 13 months (range 1 month to 5 years). After a mean follow- up of 3 years and 4 months (range 12 months to 9 years), one of the patients has developed a recurrence; all remaining patients enjoy pain relief without any recurrence.

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Intramuskuläre Angiome der Hand

et al. 2005

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Intramuscular angiomas are rare vascular tumors with locally aggressive growth between the fibers of muscle. A malignant aspect poses a danger for the function of the hand. We report the case of a 32-year-old woman with a painless tumor in the thenar. Physical examination showed a 2 x 3 x 5 cm fixed and engorged swelling. Perfusion and sensibility were intact. The flexion and opposition of the thumb were reduced. CAT showed a tumor of the thenar with a solid structure with signal enhancement after administration of contrast medium. Histologic examination after local resection showed an intramuscular angioma. Intramuscular angiomas have a malignant aspect because of the rapid and infiltrative growth followed by functional impairment, pain, and deformity. A high rate of recurrence is described. Thus, radical excision is indicated.

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Intramuscular haemangioma of the extremities: is computerized tomography useful?

Cited by 9 publications

References 13 publications

Intramuscular haemangioma of the thigh in a basketball player

Intramuscular haemangioma of the thigh in a basketball player

Hemangioma of skeletal muscle

Intramuskuläre Angiome der Hand

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