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Intramuscular Hemangioma in the Anterior Scalene Muscle Diagnosed by Core Needle Biopsy.

Cho JK, Cha W, Sung MW - Clin Exp Otorhinolaryngol (2015)

Bottom Line: Intramuscular hemangioma (IMH) is a rare, benign vascular lesion that frequently develops within skeletal muscles.Preoperatively, accurate diagnosis of IMH is often extremely difficult because of nonspecific clinical findings and the inaccuracy of fine-needle aspiration cytology.Here, we report a case of a 44-year-old man with a huge IMH in the anterior scalene muscle that was preoperatively diagnosed using ultrasonography-guided core needle biopsy, and was successfully treated based on preoperative clinical information.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Korea.

ABSTRACT
Intramuscular hemangioma (IMH) is a rare, benign vascular lesion that frequently develops within skeletal muscles. Preoperatively, accurate diagnosis of IMH is often extremely difficult because of nonspecific clinical findings and the inaccuracy of fine-needle aspiration cytology. IMH is suspected in only 8% of preoperative diagnoses before surgical exploration. Here, we report a case of a 44-year-old man with a huge IMH in the anterior scalene muscle that was preoperatively diagnosed using ultrasonography-guided core needle biopsy, and was successfully treated based on preoperative clinical information.

No MeSH data available.


Related in: MedlinePlus

Neck computed tomography (CT) revealed a hypervascular mass, approximately 8.5 cm in size, at the right posterior cervical space (A). On CT, the right carotid artery was anteriorly displaced, and the mass showed isosignal intensity relative to muscle. Magnetic resonance imaging (MRI) was diagnostic and revealed a well-defined mass with slightly increased signal intensity on gadolinium-enhanced T1-weighted fat-saturated imaging (B) and slight increased signal intensity on T2-weighted imaging (C) within the right anterior scalene muscle.
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Figure 1: Neck computed tomography (CT) revealed a hypervascular mass, approximately 8.5 cm in size, at the right posterior cervical space (A). On CT, the right carotid artery was anteriorly displaced, and the mass showed isosignal intensity relative to muscle. Magnetic resonance imaging (MRI) was diagnostic and revealed a well-defined mass with slightly increased signal intensity on gadolinium-enhanced T1-weighted fat-saturated imaging (B) and slight increased signal intensity on T2-weighted imaging (C) within the right anterior scalene muscle.

Mentions: A 43-year-old male presented with a huge mass in the right side of his neck that had been present for 1 year. He had no history of trauma prior to the appearance of swelling. Upon examination of the neck, painless diffuse swelling was noted. A neck computed tomography (CT) revealed a hypervascular mass, approximately 8.5 cm in size, at the right posterior cervical space. CT showed that the right common carotid artery (CCA) was anteriorly displaced, and the mass showed isosignal intensity relative to muscle (Fig. 1A). Magnetic resonance imaging (MRI) was diagnostic, and revealed a well-defined mass with slightly increased signal intensity on gadolinium-enhanced T1-weighted fat-saturated imaging (Fig. 1B), and increased signal intensity on T2-weighted imaging (Fig. 1C) in the right anterior scalene muscle.


Intramuscular Hemangioma in the Anterior Scalene Muscle Diagnosed by Core Needle Biopsy.

Cho JK, Cha W, Sung MW - Clin Exp Otorhinolaryngol (2015)

Neck computed tomography (CT) revealed a hypervascular mass, approximately 8.5 cm in size, at the right posterior cervical space (A). On CT, the right carotid artery was anteriorly displaced, and the mass showed isosignal intensity relative to muscle. Magnetic resonance imaging (MRI) was diagnostic and revealed a well-defined mass with slightly increased signal intensity on gadolinium-enhanced T1-weighted fat-saturated imaging (B) and slight increased signal intensity on T2-weighted imaging (C) within the right anterior scalene muscle.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4553364&req=5

Figure 1: Neck computed tomography (CT) revealed a hypervascular mass, approximately 8.5 cm in size, at the right posterior cervical space (A). On CT, the right carotid artery was anteriorly displaced, and the mass showed isosignal intensity relative to muscle. Magnetic resonance imaging (MRI) was diagnostic and revealed a well-defined mass with slightly increased signal intensity on gadolinium-enhanced T1-weighted fat-saturated imaging (B) and slight increased signal intensity on T2-weighted imaging (C) within the right anterior scalene muscle.
Mentions: A 43-year-old male presented with a huge mass in the right side of his neck that had been present for 1 year. He had no history of trauma prior to the appearance of swelling. Upon examination of the neck, painless diffuse swelling was noted. A neck computed tomography (CT) revealed a hypervascular mass, approximately 8.5 cm in size, at the right posterior cervical space. CT showed that the right common carotid artery (CCA) was anteriorly displaced, and the mass showed isosignal intensity relative to muscle (Fig. 1A). Magnetic resonance imaging (MRI) was diagnostic, and revealed a well-defined mass with slightly increased signal intensity on gadolinium-enhanced T1-weighted fat-saturated imaging (Fig. 1B), and increased signal intensity on T2-weighted imaging (Fig. 1C) in the right anterior scalene muscle.

Bottom Line: Intramuscular hemangioma (IMH) is a rare, benign vascular lesion that frequently develops within skeletal muscles.Preoperatively, accurate diagnosis of IMH is often extremely difficult because of nonspecific clinical findings and the inaccuracy of fine-needle aspiration cytology.Here, we report a case of a 44-year-old man with a huge IMH in the anterior scalene muscle that was preoperatively diagnosed using ultrasonography-guided core needle biopsy, and was successfully treated based on preoperative clinical information.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Korea.

ABSTRACT
Intramuscular hemangioma (IMH) is a rare, benign vascular lesion that frequently develops within skeletal muscles. Preoperatively, accurate diagnosis of IMH is often extremely difficult because of nonspecific clinical findings and the inaccuracy of fine-needle aspiration cytology. IMH is suspected in only 8% of preoperative diagnoses before surgical exploration. Here, we report a case of a 44-year-old man with a huge IMH in the anterior scalene muscle that was preoperatively diagnosed using ultrasonography-guided core needle biopsy, and was successfully treated based on preoperative clinical information.

No MeSH data available.


Related in: MedlinePlus