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Related Concept Videos

Imaging Studies VII: Vascular Imaging01:19

Imaging Studies VII: Vascular Imaging

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DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
558

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Intramuscular capillary-type hemangioma: radiologic-pathologic correlation.

Sabri Yilmaz1, Harry P Kozakewich, Ahmad I Alomari

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Intramuscular capillary-type hemangioma is a rare benign vascular tumor in children, often presenting later in infancy. Imaging reveals a heterogeneous mass with fast flow and intralesional fat, but biopsy is crucial for diagnosis and ruling out sarcoma.

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Area of Science:

  • Pediatric Oncology
  • Vascular Biology
  • Musculoskeletal Radiology

Background:

  • Infantile hemangiomas exhibit infantile proliferative growth and involution.
  • Intramuscular capillary-type hemangioma is a rare vascular tumor presenting later in childhood without involution.

Purpose of the Study:

  • To characterize the clinical, imaging, histopathological features, and management of intramuscular capillary-type hemangioma in children.

Main Methods:

  • Retrospective review of pediatric cases diagnosed with intramuscular capillary-type hemangioma over a 20-year period.
  • Analysis of patient demographics, imaging findings (MRI, Doppler US, angiography), and histopathological data.

Main Results:

  • 18 children (mean age 8.1 years) diagnosed with intramuscular capillary-type hemangioma.
  • MRI showed heterogeneous intramuscular masses with fast flow (flow voids) and intralesional fat.
  • Histopathology revealed lobules of capillaries with plump endothelium and adipose tissue; lesions enlarged proportionally with the child on follow-up imaging.

Conclusions:

  • Intramuscular capillary-type hemangioma is a rare, benign skeletal muscle vascular tumor.
  • Typical imaging includes a heterogeneous intramuscular mass with fast flow and intralesional fat.
  • While imaging is suggestive, biopsy is necessary to confirm diagnosis and exclude sarcoma.