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Journal of Case Reports
Rare Presentation of Intramuscular Hemangioma: A Case Series
Priya N, Jayanthi C, Vimal M, Srivani S
Department of Pathology, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry. India.
Corresponding Author:
Dr Priya N
Email: priyanatarajan4295@gmail.com
Received: 14-JUN-2024 Accepted: 08-OCT-2024 Published Online: 25-DEC-2024
DOI: http://dx.doi.org/10.17659/01.2024.0028
Abstract
Background: Intramuscular hemangiomas (IMH) are rare benign vascular tumors that present as a slow-growing, painless mass in large muscles of the trunk and extremities. IMH is frequently misdiagnosed pre-operatively, with definitive diagnosis relying on histopathology. Complete surgical excision is the preferred treatment to prevent recurrence. Case Series: We present two cases of IMH in unusual locations. The first case involved a 29-year-old female with a three-year history of a left scapular mass, which recently showed rapid growth and pain. Imaging suggested a vascular soft tissue neoplasm, and histopathology confirmed IMH with vascular proliferation and focal adipocytic clusters. The second case was a 2-year-old male with a congenital left scapular mass that enlarged over four months. Imaging indicated a benign vascular tumor, and histopathology confirmed IMH with proliferating vascular channels infiltrating muscle, along with features such as extramedullary hematopoiesis and calcifications. Both cases were treated with wide excision and reconstructive surgery, with no recurrence reported to date. Conclusion: These cases highlight the importance of considering IMH in the differential diagnosis of unusual soft tissue masses. Imaging, particularly MRI, aids in preoperative assessment, but histopathology remains the gold standard for diagnosis. Surgical excision with wide margins is critical to prevent recurrence.
Keywords : Excision Biopsy, Hemangioma, MRI, Neoplasm, Vascular Tumor.
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