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Nonpalpable intramuscular hemangioma treated with hookwire localization and excision
Chien-Shun Wang1, Po-Kuei Wu1, Hong-Jen Chiou2
1Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
Journal of the Chinese Medical Association : JCMA
|July 17, 2014
Summary
Ultrasound-guided hookwire localization significantly reduces local recurrence rates for nonpalpable intramuscular hemangioma. This technique offers a safe and effective surgical approach, improving patient outcomes and recovery.
Area of Science:
- Surgical Oncology
- Diagnostic Imaging
- Vascular Malformations
Background:
- Intramuscular hemangioma (IMH) excision has high local recurrence rates (18-61%).
- Nonpalpable IMH present diagnostic and surgical challenges.
- Accurate localization is crucial for complete tumor resection.
Purpose of the Study:
- To evaluate the clinical outcome of nonpalpable IMH.
- To assess the local recurrence rate after surgical excision.
- To determine the efficacy of ultrasound-guided hookwire localization.
Main Methods:
- 37 nonpalpable IMH cases underwent preoperative ultrasound-guided hookwire localization.
- Mean localization procedure time was 10.6 minutes.
- Patients were followed for a mean of 92.9 months post-surgery.
Main Results:
- Mean operative time was 48.6 minutes; mean incision length was 5 cm.
- All excision margins were clear.
- Only one patient (2.7%) experienced local recurrence.
Conclusions:
- Ultrasound-guided hookwire localization is safe and effective for nonpalpable IMH.
- This method aids in achieving complete tumor resection.
- It potentially improves cosmetic results and functional recovery.
