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Cavernous hemangioma presenting as a giant cervical mass: a case report
Nejmi Kiymaz1, Nebi Yilmaz, Suleyman Ozen
1Yuzuncu Yil University, Medical School, Department of Neurosurgery, Van, Turkey.
Turkish Neurosurgery
|January 13, 2010
Summary
Intramuscular hemangiomas are rare congenital vascular tumors. Surgical removal of a neck cavernous hemangioma in a child successfully restored neck movement without relapse.
Area of Science:
- Vascular Surgery
- Pediatric Oncology
- Head and Neck Surgery
Background:
- Intramuscular hemangiomas are uncommon congenital vascular tumors, representing about 7% of benign tumors.
- While often found on the trunk and extremities, they can occur in the head and neck region.
- These tumors typically present as rapidly growing masses.
Observation:
- A 10-year-old boy presented with neck swelling and restricted movement.
- MRI revealed a 9x8x5 cm soft tissue mass in the neck.
- Neurological examination was normal despite significant neck stiffness.
Findings:
- Surgical excision of the soft tissue mass was performed.
- Pathological analysis confirmed the diagnosis of cavernous hemangioma.
- The patient experienced a full return of neck mobility post-surgery.
Implications:
- Complete surgical resection is an effective treatment for head and neck intramuscular hemangiomas.
- Early diagnosis and intervention can prevent long-term complications like restricted movement.
- This case highlights the importance of considering rare vascular tumors in pediatric neck masses.
