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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

Ultrasonography (US) showed a hypoechogenic and hypervascular mass involving the right parapharyngeal space posterolateral to the right common carotid artery. US-guided core needle biopsy was performed without complications.
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Figure 2: Ultrasonography (US) showed a hypoechogenic and hypervascular mass involving the right parapharyngeal space posterolateral to the right common carotid artery. US-guided core needle biopsy was performed without complications.

Mentions: The radiologist suggested angiomyolipoma, a neurogenic tumor, or paraganglioma as differential diagnoses based on the CT and MRI scans. US showed a hypoechogenic and hypervascular mass involving the right parapharyngeal space posterolateral to the right CCA (Fig. 2). US-guided core needle biopsy was performed without complications. The pathologic findings suggested that the specimen had increased vasculature and adipose tissue, and was consistent with IMH (Fig. 3).


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

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

Ultrasonography (US) showed a hypoechogenic and hypervascular mass involving the right parapharyngeal space posterolateral to the right common carotid artery. US-guided core needle biopsy was performed without complications.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Ultrasonography (US) showed a hypoechogenic and hypervascular mass involving the right parapharyngeal space posterolateral to the right common carotid artery. US-guided core needle biopsy was performed without complications.
Mentions: The radiologist suggested angiomyolipoma, a neurogenic tumor, or paraganglioma as differential diagnoses based on the CT and MRI scans. US showed a hypoechogenic and hypervascular mass involving the right parapharyngeal space posterolateral to the right CCA (Fig. 2). US-guided core needle biopsy was performed without complications. The pathologic findings suggested that the specimen had increased vasculature and adipose tissue, and was consistent with IMH (Fig. 3).

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