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Intramuscular cavernous hemangioma.

Lora Melman1, Frank E Johnson

  • 1Department of Surgery, Saint Louis University School of Medicine, Saint Louis, MO, USA. melmanl@wudosis.wustl.edu

American Journal of Surgery
|April 29, 2008
PubMed
Summary
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Intramuscular cavernous hemangiomas are rare vascular tumors that present as painful soft-tissue masses. Surgical excision is the definitive treatment for these non-regressing tumors.

Area of Science:

  • Vascular Surgery
  • Oncology
  • Radiology

Background:

  • Intramuscular cavernous hemangiomas are rare, accounting for less than 1% of all hemangiomas.
  • These benign vascular tumors are characterized by abnormal, dilated blood vessels within muscle tissue.

Observation:

  • Typically present as an enlarging, painful soft-tissue mass.
  • Symptoms arise from local pressure on adjacent structures.
  • Absence of cutaneous changes is common.

Findings:

  • Intramuscular cavernous hemangiomas do not spontaneously regress.
  • Phleboliths (calcified thrombi) on radiographic imaging are a specific diagnostic finding.
  • These lesions can be locally destructive due to mass effect.

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Implications:

  • Early diagnosis and intervention are crucial to prevent local destruction.
  • Surgical excision is the recommended definitive treatment.
  • Understanding the specific radiographic signs aids in accurate diagnosis.