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Aggressive intramuscular hemangiomas in the upper extremity: A case report.
1Department of Hand Surgery, the First Affiliated Hospital, College of Medcine, Zhejiang University Department of Hand Surgery, Zhejiang Province People's Hospital, Hangzhou, Zhejiang Province, P. R. China.
Medicine
|January 19, 2017
Summary
For recurrent intramuscular hemangioma (IMH), a rare soft tissue tumor, amputation may be the best option. This case study shows amputation led to functional recovery and no tumor recurrence in a 16-year-old male.
Area of Science:
- Oncology
- Vascular Tumors
- Surgical Oncology
Background:
- Intramuscular hemangioma (IMH) is a rare congenital soft tissue tumor.
- Effective treatment for IMH can be challenging, especially after multiple failed interventions.
Observation:
- A 16-year-old male presented with a large IMH in his right hand and forearm, impacting shoulder, elbow, wrist, and finger mobility.
- The patient had a history of multiple ineffective surgical excisions and recurrences.
Findings:
- Pathological examination confirmed the diagnosis of IMH.
- Amputation of the right hand, forearm, and part of the arm was performed due to extensive tumor burden and recurrence.
- The patient achieved functional recovery with no tumor recurrence during a 2-year follow-up.
Implications:
- Amputation can be a viable and effective treatment for severe, recurrent IMH cases.
- Personalized treatment strategies are crucial for managing IMH.
- Early consideration of amputation may prevent prolonged suffering from ineffective treatments.
