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[Diagnosis and therapy of calcifying intramuscular hemangiomas of the lower extremity]
J Hussmann1, A Bosse, H U Steinau
1Klinik für Plastische Chirurgie, Handchirurgiezentrum, Universitätskliniken, Bochum.
Insights
Surgical resection effectively treated calcifying cavernous hemangioma in lower extremities. Patients experienced no recurrence, with functional recovery allowing walking within weeks.
Area of Science:
- Orthopedic Surgery
- Vascular Surgery
- Oncology
Background:
- Calcifying cavernous hemangioma of the lower extremity is a rare vascular tumor.
- Surgical resection is a primary treatment modality for symptomatic hemangiomas.
Observation:
- This study reviewed 13 patients with lower extremity calcifying cavernous hemangioma treated between 1990 and 1996.
- Surgical resection involved tumor removal, with muscle resection (gastrocnemius, soleus) in some cases.
- Achilles tendon lengthening was performed in 11 patients to correct foot drop deformity.
Findings:
- Histological examination identified cavernous hemangiomas, arterio-venous angioma racemosum, and mixed capillary-cavernous hemangiomas.
- Postoperative functional recovery allowed patients to walk independently at an average of 5.3 weeks.
- A mean follow-up of 29 months revealed no recurrence of the hemangioma or associated symptoms.
Implications:
- Surgical resection is a safe and effective treatment for lower extremity calcifying cavernous hemangioma.
- Combined procedures like Achilles tendon lengthening can address functional deficits.
- Long-term follow-up confirms the low recurrence rate of this condition after surgical management.
Abstract:
During a 6 year interval from 1990 to 1996 13 patients suffering from calcifying cavernous hemangioma of the lower extremity were treated by surgical resection of the tumor and were followed-up postoperatively for remaining functional loss and recurrence rate. The resection of the medial head of the gastrocnemius muscle was performed seven times, the resection of the lateral head was done in 5 patients. In one patient the soleus muscle was partially resected. Simultaneous lengthening of the Achilles tendon was done in 11 patients for correction of foot drop deformity. The histological examination revealed three cavernous hemangiomas, one arterio-venous angioma racemosum and nine mixed capillary-cavernous hemangiomas. The patients were able to walk at 5.3 weeks following surgery. During the 29 months follow-up period there was no recurrence of symptoms neither of the hemangioma.