Posttraumatic Intramuscular Hemangioma Arising from Scalene Muscles in Supraclavicular Region

Abstract

Intramuscular hemangiomas (IMH) account for <%1 of all hemangiomas and are rarely located in the head and neck region. The most common site of origin in the head and neck is the masseter muscle, whereas IMH originating from the scalene muscles are rarely seen. Surgical excision of intramuscular hemangioma is considered the main treatment modality. Here we present the case of a male patient aged 17 with IMH that occured after blunt trauma in the supraclavicular region, fed by the thyrocervical and costocervical trunks, and with an arteriovenous shunt.

A Rare Clinical Report of Intramuscular Hemangioma of the Middle Scalene Muscle

“…Only 7 clinical reports of IMH of scalene muscles have been described in the literature. [4][5][6][7][8][9] One of these was located in the posterior scalene, 1 in middle scalene, 2 in the anterior scalene, and the other 3 originated from unspecified scalene muscles. [4][5][6][7][8][9] This is the eighth clinical report of IMH of scalene muscles in the literature.…”

“…Only 7 clinical reports of IMH of scalene muscles have been described in the literature. 4-9 One of these was located in the posterior scalene, 1 in middle scalene, 2 in the anterior scalene, and the other 3 originated from unspecified scalene muscles. 4-9 This is the eighth clinical report of IMH of scalene muscles in the literature.…”

Intramuscular Hemangioma of the sternocleidomastoid muscle: A Rare Unusual Neck Mass

“…3 In addition to that, according to the literature, radiotherapy therapy is contraindicated in the treatment of IMH because of the possibility of malignant transformation and low success rate. 8 Based on our knowledge, tumor mass was resected along with the adjacent involved part of muscle tissue while taking care to preserve the spinal accessory nerve. 9 Careful microscopic dissection was done under a microscope so that whole of the tumor mass along with that involved muscles can be removed properly.…”

Qualitative and quantitative diagnosis of intramuscular hemangioma subtypes: Diagnostic performance comparison of ESWAN and conventional MRI

“…However, the low morbidity, occult onset, and non-specific clinical manifestations lead to difficult preoperative diagnosis, especially for pathological subtypes (9). In addition, fine-needle aspiration biopsy on the solid component of the tumor cannot be performed for excluding malignancy (10). Therefore, it is necessary to find an appropriate method for the preoperative diagnosis of IMH and its histopathological subtypes.…”