This condition constitutes 0.8% of all hemangiomas, 14% in the head and neck (1). Skeletal muscle involvement was first described in 1843 by Liston (2). The rarity of these tumors and the difficulty with diagnosis often leads to incomplete excision (3). These are congenital lesions consisting of mesodermal nests of vasoformative tissue that gives rise to the vascular tree (4). They may be exacerbated by trauma and reproductive hormones (3, 5). They can resolve spontaneously (3, 4, 6). They present as a palpable, rubbery mass in 98% of cases (4). Occasionally, they are compressible and pulsate. Conventional X-rays show phleboliths, MRI scanning gives good soft tissue definition, but angiography reveals the vascular nature of the tumor (7). Irradiation cautery, sclerosants, lasers, steroids and surgical excision have been used for treatment (3, 4, 6, 8, 12). Total excision is the treatment of choice (4, 6, 10, 13, 14).
European Journal of Plastic Surgery – Springer Journals
Published: Jul 1, 1997
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