Intramuscular angioma in the thenar: Case report

被引:2
作者
Altmann S. [1 ,3 ]
Fansa H. [1 ]
Schildhaus H.-U. [2 ]
Schneider W. [1 ]
机构
[1] Klin. F. Plastische, W., Otto-von-Guericke-Universität, Magdeburg
[2] Institut für Pathologie, Medizinische Fakultät, Otto-von-Guericke-Universität, Magdeburg
[3] Klin. F. Plastische, W., Otto-von-Guericke-Universität, 39120 Magdeburg
来源
Der Orthopäde | 2005年 / 34卷 / 4期
关键词
Hemangioma; Intramuscular angioma; Tumors of the hand;
D O I
10.1007/s00132-005-0772-2
中图分类号
学科分类号
摘要
Intramuscular angiomas are rare vascular tumors with locally aggressive growth between the fibers of muscle. A malignant aspect poses a danger for the function of the hand. We report the case of a 32-year-old woman with a painless tumor in the thenar. Physical examination showed a 2×3×5 cm fixed and engorged swelling. Perfusion and sensibility were intact. The flexion and opposition of the thumb were reduced. CAT showed a tumor of the thenar with a solid structure with signal enhancement after administration of contrast medium. Histologic examination after local resection showed an intramuscular angioma. Intramuscular angiomas have a malignant aspect because of the rapid and infiltrative growth followed by functional impairment, pain, and deformity. A high rate of recurrence is described. Thus, radical excision is indicated. © Springer Medizin Verlag 2005.
引用
收藏
页码:352 / 355
页数:3
相关论文
共 22 条
[1]  
Allen P.W., Enzinger F.M., Hemangioma of skeletal muscle. An analysis of 89 cases, Cancer, 29, (1972)
[2]  
Beham A., Fletcher C.D., Intramuscular angioma: A clinicopathological analysis of 74 cases, Histopathology, 18, (1991)
[3]  
Bowers R.E., Graham E.A., Tomlinson K.M., The natural history of strawberry nevus, Arch Derm, 82, (1960)
[4]  
Buetow P.C., Kransdorf M.J., Moser R.P., Jelinek J.S., Berrey B.H., Radiologie appearance of intramuscular hemangioma with emphasis on MR imaging, AJR, 154, (1990)
[5]  
Christenson J.T., Gunterberg B., Intramuscular hemangioma of the extremities: Is computerized tomography useful?, Br J Surg, 72, (1985)
[6]  
Cohen A.J., Clagett G.P., Nadalo L., Intramuscular hemangioma, JAMA, 249, (1983)
[7]  
Enjolras O., Logeart I., Gelbert F., Arteriovenous malformations: A study of 200 cases, Ann Dermatol Venereol, 127, 1, (2000)
[8]  
Fergusson I.L.C., Hemangiomata of skeletal muscle, Cancer, 29, (1972)
[9]  
Finn M.C., Glowacki J., Mulliken J.B., Congenital vascular lesions: Clinical application of a new classification, J Pediatr Surg, 18, (1983)
[10]  
Herbreteau D., Guichard J.P., Gobin Y.P., Et al., Vystic lymphatic malformations of the head and neck. Role of interventional radiology, Ann Otolaryngol Chir Cervicofac, 109, 5, (1992)