scholarly journals Intramuscular Haemangioma with Diagnostic Challenge: A Cause for Strange Pain in the Masseter Muscle

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Krithika Chandrasekar Lakshmi ◽  
Sathasivasubramanian Sankarapandiyan ◽  
Venkata Sai Pulivadula Mohanarangam

Intramuscular hemangiomas are unique vascular tumors which are benign in nature, most commonly occurring in the trunk and extremities. When present in head and neck, they most frequently involve the masseter and trapezius muscles, accounting for less than 1% of all hemangiomas. Most of these lesions present with pain and discomfort and some patients may demonstrate progressive enlargement. Due to their infrequency, deep location, and unfamiliar presentation, these lesions are seldom correctly diagnosed clinically. Our report is a clinically misdiagnosed case of a painful soft tissue mass in the right side masseteric region of a 23-year-old female patient, confirmed as intramuscular hemangioma based on imaging studies and histopathologic examination, treated by surgical excision which had no recurrence after a 3-year followup.

2005 ◽  
Vol 09 (01) ◽  
pp. 45-51
Author(s):  
Alexander Blankstein ◽  
Aharon Chechick ◽  
Abraham Adunski ◽  
Uri Givon ◽  
Yigal Mirovski ◽  
...  

Soft tissue masses are amongst the commonest complaints encountered in orthopedic practice. Of these, masses found in the hand and the wrist are presented at higher frequency. They are often painful and may cause limitation of movement. This work describes the prevalence and the nature of soft tissue masses in the hand and wrist encountered in routine practice. This work was performed to assess the characteristics of soft tissue mass in the hand and the effectiveness of ultrasonography in the diagnosis of soft tissue masses and their differentiation from other lesions in the hand and wrist. Orthopedic surgical conditions that involve soft tissue in the hand and wrist may remain a diagnostic challenge when clinical diagnosis is uncertain and standard X-rays are non-diagnostic. High resolution ultrasound is widely available, non-invasive, without damage of radiation, imaging modality that can help the diagnosis. We reviewed retrospectively 25 patients with soft tissue masses. We compared the ultrasound findings with the histological findings in seven operated patients. A substantial majority of these lesions occurred in the right hand: 79% of the lesions were in the dorsal aspect of the hand, of which 37% were distal to the wrist joint, among them 42% at wrist either radial or ulnar; and 21% of the lesions were found in the volar aspect, among them 17% at wrist aspect, either radial or ulnar side. No predisposing factors could be found. The findings of this study reaffirm the utility of ultrasonography as primary diagnostic tool in routine orthopedic practice.


2021 ◽  
Vol 22 (4) ◽  
pp. 218-221
Author(s):  
Daehwan Park ◽  
Sulki Park ◽  
Bongsoo Baik ◽  
Sunyoung Kim

Intramuscular hemangiomas of the masseter muscle are uncommon tumors and therefore can be difficult to accurately diagnose preoperatively, due to the unfamiliar presentation and deep location in the lateral face. A case of intramuscular hemangioma of the masseter muscle in a 66-yearold woman is presented. Doppler ultrasonography showed a 34× 15 mm hypoechoic and hypervascular soft tissue mass in the left masseter muscle, suggesting hemangioma. The mass was excised via a lateral cervical incision near the posterior border of the mandibular ramus. The surgical wound healed well without complications.


Hand Surgery ◽  
2005 ◽  
Vol 10 (01) ◽  
pp. 97-100 ◽  
Author(s):  
Narayan Hulse ◽  
Stewart J. Watson

Giant cell tumour of the tendon sheath is uncommon in children. We describe this tumour arising from the right ring finger in an eight-year-old girl. Plane radiographs showed a soft tissue mass with erosion of the distal phalanx. The tumour was treated by surgical excision with good outcome.


1990 ◽  
Vol 80 (8) ◽  
pp. 441-443 ◽  
Author(s):  
J Nack ◽  
L Gustafson

A case was presented in which a 28-year-old male presented with tenderness and stiffness in the posterior muscle group of his right leg. The patient's symptoms had been present intermittently for nearly 23 years. Recently, the pain had progressed to the point of limiting his normal daily activities. Initial conservative therapy, which consisted of Zorprin, heel lifts, and low Dye strapping, failed to alleviate the symptoms. Magnetic resonance imaging was used to identify a mass of an unknown etiology. Following orthopedic and oncologic consultation, surgical excision was advised and performed. Pathologic examination of the mass confirmed that the tumor was an intramuscular hemangioma. Classically, with intramuscular hemangiomas, patients may have soft tissue complaints, such as pain and swelling, present for years. Patients usually defer medical attention until the primary symptom of pain occurs. When a patient complains of a painful soft tissue mass of the leg, and intramuscular hemangioma should be included in the differential diagnosis. The appropriate radiographic studies and consultations should be performed, and surgical excision should be carried out.


2006 ◽  
Vol 130 (3) ◽  
pp. e35-e36
Author(s):  
Einas Alkuwari ◽  
Denis H. Gravel

2015 ◽  
Vol 6 (3) ◽  
pp. 109-111 ◽  
Author(s):  
Jatin P Shah ◽  
Ivana Petrovic ◽  
Ben Roman

ABSTRACT Background Vascular anomalies are divided into vascular tumors, hemangiomas being the most common, and vascular malformations. Most vascular anomalies are noticed at birth or occur during infancy, and generally involve skin or subcutaneous soft tissues. Adult onset hemangiomas are rare, and intramuscular location is extremely rare. Surgical excision is recommended for hemangiomas in adults, if they are symptomatic, or manifest growth. Materials and methods We report a rare case of a 51-year-old woman, with an intramuscular hemangioma of the tongue, presenting as a submental mass. Preoperative imaging for assessment of tumor extent was followed by a successful surgical excision. Results Postoperative course was uneventful with primary healing of the wound, and with no functional deficit of tongue function. Conclusion Although a variety of treatment approaches are reported for childhood hemangiomas, surgical excision is the preferred treatment for adult onset symptomatic hemangiomas. Preoperative work up should include imaging preferably with contrast enhanced magnetic resonance imaging (MRI). Embolization may be considered for larger lesions. Intraoperative hypotension should be avoided to ensure identification of the entire lesion to ensure complete excision. How to cite this article Petrovic I, Roman B, Shah JP. Cavernous Hemangioma of the Tongue. Int J Head Neck Surg 2015;6(3):109-111.


2008 ◽  
Vol 21 (04) ◽  
pp. 375-377 ◽  
Author(s):  
E. Simko ◽  
G. Harasen

SummaryA 10-year-old spayed female Golden Retriever was admitted with chronic lameness of the right hind limb. A tibial plateau leveling osteotomy (TPLO) had been performed on this leg approximately three years previously. A progressively growing soft tissue mass, affecting the right stifle, previously treated with TPLO was biopsied and found to be a histiocytic sarcoma. Previously proposed links between the development of neoplasia in the stifle region and the presence of chronic synovitis, osteotomy, orthopaedic implants, and specifically the Slocum TPLO plate, are briefly discussed.


2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Sunyarn Niempoog ◽  
Waroot Pholsawatchai

Intramuscular hemangiomas can be an infrequent but important cause of musculoskeletal pain. This report describes a 25-year-old male who presented with pain in the right forearm and contracture of the right hand for 4 years. Physical examination revealed severe tenderness of the midforearm with contracture of the flexor tendons in the index, middle, ring, and little fingers. Conventional radiography of the forearm revealed a soft tissue phlebolith. Magnetic resonance imaging showed a well-defined lobulated mass partially involving the FDP tendon. An intramuscular hemangioma within the deep anterior compartment of the forearm was suspected. Following surgical excision of the hemangioma, the patient’s symptoms resolved completely. In conclusion, intramuscular hemangioma can be a rare cause of flexion contracture of the hands and should be considered as a cause of a flexion contracture that fails to respond to conservative treatment.


2020 ◽  
Vol 8 (3) ◽  
pp. e001119
Author(s):  
Alexis Gombert ◽  
Deborah Culang ◽  
Isabelle Lanthier ◽  
Edouard Martin ◽  
Cyrielle Finck

A five-year-old neutered male Labrador Retriever was presented for recurring severe dyspnoeic episodes. Oral examination performed under sedation revealed a mass originating from the left arytenoid. CT highlighted a large perilaryngeal soft-tissue mass abutting the oesophagus, with a small intralaryngeal component. The mass created a narrowing of the laryngeal lumen and displaced the cranial cervical oesophagus dorsally and to the right. CT also highlighted a second smaller mass rostrally at the level of an oesophageal outpouching, narrowing the caudal aspect of the nasopharynx. The perilaryngeal mass was aspirated under ultrasound guidance. Cytology was suggestive of a tumour arising from skeletal muscle and a rhabdomyosarcoma was suspected. Due to poor prognosis, the patient was euthanased. Postmortem examination confirmed two masses affecting the cranial cervical oesophagus, one of which also invaded the perilaryngeal tissue. Histology and immunohistochemistry provided a final diagnosis of two concurrent oesophageal and perilaryngeal embryonal rhabdomyosarcomas.


2007 ◽  
Vol 35 (5) ◽  
pp. 724-730 ◽  
Author(s):  
EH Kayias ◽  
GI Drosos ◽  
KI Kazakos ◽  
C Iatrou ◽  
KS Blatsoukas ◽  
...  

We report the rare case of a histologically proven mixed-type intramuscular haemangioma, adjacent to the periosteum of the radius, that caused a periosteal reaction. We also carried out a review of the literature relevant to this case. A 28-year-old male professional drummer presented with an 8-month history of pain and swelling of the dorsal aspect of the right radius. Diagnosis was established on the basis of plain radiographs and magnetic resonance imaging, and was confirmed by histology. The lesion was treated solely by resection of the soft-tissue mass. The patient remained asymptomatic 4 years post-operatively, with no radiographic signs of recurrence. From a review of the literature, it is evident that the terminology for haemangiomas causing regional bone changes is unclear. A new classification of the intramuscular haemangiomas is proposed in order to distinguish between lesions that, according to current knowledge, exhibit radiological and clinical areas of overlap.


Sign in / Sign up

Export Citation Format

Share Document