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Jafarian M, Alizadeh Tabrizi MA, Mashhadi Abbas F, Torabi ZS. Intramuscular cavernous malformation in the temporalis muscle: Diagnosis and treatment of a rare tumor in a rare site. Clin Case Rep 2023; 11:e8267. [PMID: 38033698 PMCID: PMC10682246 DOI: 10.1002/ccr3.8267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2023] [Revised: 11/13/2023] [Accepted: 11/17/2023] [Indexed: 12/02/2023] Open
Abstract
In this case report we present a very rare case of intramuscular cavernous hemangioma in the temporalis muscle which was successfully managed with surgical excision with no evidence of recurrence in follow-up.
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Affiliation(s)
- Mohammad Jafarian
- Department of Oral and Maxillofacial SurgeryTaleghani University Hospital, Shahid Beheshti University of Medical SciencesTehranIran
| | | | - Fatemeh Mashhadi Abbas
- Department of Oral and Maxillofacial PathologyShahid Beheshti University of Medical SciencesTehranIran
| | - Zahra Sadat Torabi
- Department of Oral and Maxillofacial SurgeryTaleghani University Hospital, Shahid Beheshti University of Medical SciencesTehranIran
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Sellami M, Ayadi S, Sellami N, Triki M, Souissi B, Boudaouara T, Ben Mahfoudh K, Charfeddine I. An intramuscular hemangioma of the semispinalis muscle: A case report. SAGE Open Med Case Rep 2023; 11:2050313X231205800. [PMID: 37860284 PMCID: PMC10583517 DOI: 10.1177/2050313x231205800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 09/18/2023] [Indexed: 10/21/2023] Open
Abstract
Intramuscular hemangiomas are uncommon benign endotheliomas that typically occur in the trunk and limbs. Head and neck involvement is relatively infrequent, with the masseter muscle being the most commonly affected site. We present a rare case of intramuscular hemangiomas arising from the semispinalis muscle. A 31-year-old male presented with a painless swelling in the left upper neck region, gradually increasing in size over the past year. Imaging studies revealed a well-defined mass originating from the semispinalis muscle. Surgical excision was performed successfully, and histological examination confirmed the diagnosis of a mixed intramuscular hemangioma. The patient remained recurrence-free during the 2-year follow-up period. Intramuscular hemangiomas in the posterior neck muscles are rare, with only a few reported cases. Wide surgical resection with control of feeding vessels is the optimal treatment, and follow-up is recommended to monitor for local recurrence. This case report highlights the clinical presentation, diagnostic challenges, and successful surgical management of intramuscular hemangiomas in a unique location, emphasizing the importance of accurate diagnosis and appropriate treatment of this rare tumor.
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Affiliation(s)
- Moncef Sellami
- Department of Otorhinolaryngology-Head and Neck Surgery, Habib Bourguiba University Hospital, Sfax, Tunisia
| | - Sirine Ayadi
- Department of Otorhinolaryngology-Head and Neck Surgery, Habib Bourguiba University Hospital, Sfax, Tunisia
| | - Nesrine Sellami
- Department of Otorhinolaryngology-Head and Neck Surgery, Habib Bourguiba University Hospital, Sfax, Tunisia
| | - Meriem Triki
- Department of Pathology and Research Laboratory, Habib Bourguiba University Hospital, Sfax, Tunisia
| | - Basma Souissi
- Department of Radiology, Habib Bourguiba Hospital, Sfax, Tunisia
| | - Tahia Boudaouara
- Department of Pathology and Research Laboratory, Habib Bourguiba University Hospital, Sfax, Tunisia
| | | | - Ilhem Charfeddine
- Department of Otorhinolaryngology-Head and Neck Surgery, Habib Bourguiba University Hospital, Sfax, Tunisia
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Burgos-Sosa E, Ayala-Arcipreste A, Isidro Ramirez-Rodriguez J, Espíndola-Rodríguez A, Margarita Sanchez-Garcia L, Cuesta-Mejia TC, Espinosa-Lira F, Perez-Morales OA, Mendizabal-Guerra R, Bernes-Rodríguez MJ. Mixed hemangioma of the temporalis muscle in a pediatric patient. INTERDISCIPLINARY NEUROSURGERY 2022. [DOI: 10.1016/j.inat.2021.101482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Alqahtani AA, AlQarni AA, Abbas MM, Alkhani AM. Temporal Muscle Cavernous Hemangioma: A Case Report and Literature Review. Cureus 2022; 14:e23166. [PMID: 35444904 PMCID: PMC9010010 DOI: 10.7759/cureus.23166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2022] [Indexed: 11/08/2022] Open
Abstract
Hemangiomas are nonmalignant vascular lesions commonly seen in both the skin and mucosa that rarely occur in skeletal muscles. According to the type of vessel, a hemangioma can be differentiated into capillary, cavernous, or mixed types. The following report describes a case of temporalis muscle hemangioma in a 45-year-old female who presented with painful swelling in the left outer orbital wall, which had been growing in size over the past 12 months. CT scan and MRI revealed a well-demarcated lesion in the temporalis muscle measuring 10 mm × 13 mm × 15 mm. Surgical resection of the lesion was performed, allowing a definitive diagnosis of cavernous hemangioma to be made histologically. As radiological images are mainly inadequate for definitively diagnosing these lesions, surgical intervention is usually required. The recurrence rate differs among the three subtypes; thus, clinical follow-up and radiological imaging as needed are recommended.
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Sayad Z, Dani B, Benazzou S, Boulaadas M. An unusual location of a cavernous hemangioma: a case report. Pan Afr Med J 2021; 39:29. [PMID: 34394820 PMCID: PMC8348360 DOI: 10.11604/pamj.2021.39.29.28492] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Accepted: 03/23/2021] [Indexed: 11/11/2022] Open
Abstract
Hemangiomas are benign vascular tumors that most often affect the skin, mucous membranes, subcutaneous tissues, bone and on rare occasions muscles. In the head and neck region, the masseter and trapezius muscles are most often affected; the temporalis muscle involvement is extremely rare. It is a childhood pathology that rarely occurs in adults. We report a case of a cavernous hemangioma in a 37-year-old female. Through this case and in the light of literature we focus on the clinicopathological aspects of this tumor and the rarity of this location.
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Affiliation(s)
- Zahra Sayad
- Department of Oral and Maxillofacial Surgery, Ibn Sina University Hospital Center, Rabat, Morocco
| | - Bouchra Dani
- Department of Oral and Maxillofacial Surgery, Ibn Sina University Hospital Center, Rabat, Morocco
| | - Salma Benazzou
- Department of Oral and Maxillofacial Surgery, Ibn Sina University Hospital Center, Rabat, Morocco
| | - Malik Boulaadas
- Department of Oral and Maxillofacial Surgery, Ibn Sina University Hospital Center, Rabat, Morocco
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6
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Nasal bridge intramuscular hemangioma. Case Rep Otolaryngol 2015; 2015:412625. [PMID: 25709848 PMCID: PMC4332466 DOI: 10.1155/2015/412625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2014] [Accepted: 12/24/2014] [Indexed: 11/22/2022] Open
Abstract
Intramuscular haemangioma (IMH) is a benign mesenchymal tumour. It appears as a deep, nontender mass within the soft tissue, particularly in the extremities. This tumour may not be obvious on clinical examination. Head and neck IMHs represent only 13.5% of the total IMHs. The most common site for a head and neck IMH is the masseter muscle, followed by trapezius, sternocleidomastoid, and very rarely temporalis muscle. We present a patient with left nasal bridge swelling which was excised and histologically confirmed as intramuscular hemangioma.
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Patiño-Seijas B, Lorenzo-Franco F, Rey-Sanjurjo JL, González-Cuesta M, López-Cedrún Cembranos JL. Vascular Lesions: GLUT-1 expression as a diagnostic tool to discriminate tumors from malformations. J Oral Maxillofac Surg 2012; 70:2333-42. [PMID: 22330334 DOI: 10.1016/j.joms.2011.11.013] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2011] [Revised: 11/17/2011] [Accepted: 11/17/2011] [Indexed: 12/29/2022]
Abstract
Vascular lesions constitute a widely heterogeneous group of tumors and malformations. For head and neck vascular anomalies, most studies have not attempted to make the differential diagnosis between true hemangiomas and vascular malformations, because an accurate diagnosis remains a challenge for physicians. The successful treatment of vascular anomalies depends on a profound knowledge of their biologic behavior and correct classification. Recently, specific immunohistochemical markers such as erythrocyte-type glucose transporter protein 1 have been described to differentiate hemangiomas from vascular malformations. This report describes 2 cases of intramuscular vascular anomalies involving the masseter muscle histologically diagnosed primarily as cavernous hemangiomas and presents the imaging and pathologic findings. Ample surgical excision was performed through an intraoral approach. Immunohistochemistry showed no uptake of glucose transporter protein 1. The literature was reviewed and the designation intramasseteric vascular malformation for this entity is proposed.
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Uraloğlu M, Uysal AC, Sensöz O, Ortak T, Unlü RE. Intramuscular hemangioma of the temporalis muscle. J Craniofac Surg 2007; 17:745-7. [PMID: 16877928 DOI: 10.1097/00001665-200607000-00027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Affiliation(s)
- Muhammed Uraloğlu
- Department of Plastic and Reconstructive Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey
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Iannetti G, Rinna C, Saltarel A, Pagnoni M, Reale G. Hemangiopericytoma of the temporal muscle: clinical report. J Craniofac Surg 2006; 17:172-5. [PMID: 16432428 DOI: 10.1097/01.scs.0000169001.65999.38] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Affiliation(s)
- Giorgio Iannetti
- Cattedra di Chirurgia Maxillo-Facciale, Università degli Studi di Roma La Sapienza, Rome, Italy
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Connor SEJ, Davitt SM. Masticator space masses and pseudomasses. Clin Radiol 2004; 59:237-45. [PMID: 15037135 DOI: 10.1016/j.crad.2003.08.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2003] [Revised: 08/02/2003] [Accepted: 08/20/2003] [Indexed: 11/30/2022]
Abstract
We review the anatomy of the masticator space and the localization of masticator space lesions on cross-sectional imaging. The magnetic resonance imaging and computed tomography appearances of inflammatory, neoplastic, developmental and vascular masticator space lesions are discussed and illustrated. Benign processes and normal variations, which mimic masticator space pathology, are also considered.
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Affiliation(s)
- S E J Connor
- Department of Neuroradiology, King's College Hospital, London, UK.
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To EW, Pang PC, Ahuja A. Cavernous hemangioma of the temporalis muscle: report of a case. J Oral Maxillofac Surg 2001; 59:1229-32. [PMID: 11573189 DOI: 10.1053/joms.2001.26733] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- E W To
- Division of Head & Neck, Plastic and Reconstructive Surgery, Department of Surgery, The Chinese University of Hong Kong, Hong Kong.
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Shpitzer T, Noyek AM, Witterick I, Kassel T, Ichise M, Gullane P, Neligan P, Freeman J. Noncutaneous cavernous hemangiomas of the head and neck. Am J Otolaryngol 1997; 18:367-74. [PMID: 9395011 DOI: 10.1016/s0196-0709(97)90055-7] [Citation(s) in RCA: 49] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- T Shpitzer
- Department of Otolaryngology, Mount Sinai Hospital, Toronto, Ontario, Canada
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