Recurrent Intramuscular Hemangioma (Infiltrating Angiolipoma) of the Lower Lip: A Case Report and Review of the Literature

Abstract

Objective: To report a case of a recurrent intramuscular hemangioma (IMH) of the lower lip of a 68-year-old female and review the published literature to provide an overview of the presentation, diagnostic strategy, pathological classification, and management of these lesions within the oral cavity. Methods: A case report was conducted by reviewing the documentation at a single institution. A systematic literature review on OVID MEDLINE and PubMed was performed using the MESH terms “intramuscular hemangioma” and “oral cavity,” “tongue,” “cheek,” “buccal,” “gingiva,” and “lip.” Results: A 62-year-old female presented to our institution with a 2 × 2 × 1 cm IMH of the lower lip involving the surrounding orbicularis oris muscle. She underwent a submucosal resection and did well postoperatively. Six and a half years later, she represented to our institution with a new lower lip lesion in the area of her previous resection. Preoperative magnetic resonance imaging showed a new 10 × 11 mm lesion with a well circumscribed central component surrounded by ill-defined tissue. Preoperative angiography showed that the lesion was supplied by vessels branching off the left facial artery, which were embolized. She underwent wide-local excision (WLE) with bilateral advancement flaps and at her 2-month postoperative visit has not had recurrence. Conclusion: Only 39 cases of IMH in the oral cavity have been reported, with only 3 others occurring in the lower lip. Here we add the first case of an IMH of the oral cavity that recurred after primary WLE. The patient was successfully retreated with WLE. At a 3-month follow-up visit, she noted some incompetence with oral secretions and occasional tingling along the incision site but no evidence of recurrence.

Hemangioma of First Extensor Compartment of the Wrist– A Rare Case Report

“…We instituted excision biopsy in toto to provide a better functional outcome. It is reported that inadequate excision leads to a recurrence rate between 20% and 60% [ 2 , 26 , 46 , 47 ]. No recurrence was reported in our case in the past 6 months follow-up.…”

Masson’s Hemangioma of Knee: A Rare Case Report

“…In our case, we performed open synovectomy to provide a better functional outcome. The literature stated that inadequate excision poses a recurrence rate of 20–60% [ 33 , 34 , 35 , 36 ]. No recurrence was reported in our case in the last 8 months of follow-up.…”

A rare case of intramuscular hemangioma of splenius capitis: a case report

“…Hemangiomas, although being the most common benign tumor, arising within skeletal muscle account for less than 1% of all hemangiomas and occur in large musculature of the trunk and extremities 1 , 2 . Intramuscular hemangiomas are uncommon in the head and neck region (14–21% of intramuscular hemangiomas) and mostly involve the masseter muscle 1 – 3 . Intramuscular hemangiomas are nonencapsulated benign neoplasms involving skeletal muscle and deep peripheral soft tissue that are composed of vascular channels along with adipose tissue, fibrous, and myxoid tissue 2 , 3 .…”

“…Intramuscular hemangiomas are uncommon in the head and neck region (14–21% of intramuscular hemangiomas) and mostly involve the masseter muscle 1 – 3 . Intramuscular hemangiomas are nonencapsulated benign neoplasms involving skeletal muscle and deep peripheral soft tissue that are composed of vascular channels along with adipose tissue, fibrous, and myxoid tissue 2 , 3 . Intramuscular hemangiomas occur mostly in childhood with 85% noted by the age of 1 year 4 , 5 with no sex preference 6 , 7 .…”