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Diagnosis and management of intercostal intramuscular hemangioma: an updated review

BACKGROUND: Intramuscular hemangioma (IMH) is an uncommon type of hemangioma, and primary IMH of the intercostal muscle is even rarer. Only a few reports describe IMH of the intercostal muscle, and there are no review articles on this topic. We report our experience with a younger female patient, wh...

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Autores principales: Ochi, Takahiro, Sekine, Yasuo, Koh, Eitetsu, Hoshino, Hidehisa, Nakazawa, Tadao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318703/
https://www.ncbi.nlm.nih.gov/pubmed/37403180
http://dx.doi.org/10.1186/s13019-023-02328-9
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author Ochi, Takahiro
Sekine, Yasuo
Koh, Eitetsu
Hoshino, Hidehisa
Nakazawa, Tadao
author_facet Ochi, Takahiro
Sekine, Yasuo
Koh, Eitetsu
Hoshino, Hidehisa
Nakazawa, Tadao
author_sort Ochi, Takahiro
collection PubMed
description BACKGROUND: Intramuscular hemangioma (IMH) is an uncommon type of hemangioma, and primary IMH of the intercostal muscle is even rarer. Only a few reports describe IMH of the intercostal muscle, and there are no review articles on this topic. We report our experience with a younger female patient, who underwent video-assisted thoracic surgery with tumor resection and review the previous literatures of intercostal IMH. CASE PRESENTATION: An asymptomatic 17-year-old woman showed a 29-mm, homogeneous, intrathoracic nodule in the left chest wall, attached to the second and third ribs on computed tomography. We performed exploratory thoracoscopic surgery and the tumor was excised without surrounding rib resection. Histopathologic examination of the surgical specimen revealed proliferation of small blood vessels within the surrounding striated muscle, leading to the diagnosis of intercostal IMH. The surgical margin was negative. The patient’s postoperative course was uneventful, and there has been no evidence of recurrence for more than 18 months after surgery. CONCLUSIONS: We describe a case of intercostal IMH, who received tumor resection with clear excision margin without surrounding rib resection. Preoperative diagnosis is challenging due to its rarity, but intercostal IMH should be recalled as a differential diagnosis of chest wall tumor. Tumor excision without surrounding rib resection is acceptable for intercostal IMH, when there is a good possibility of achieving negative surgical margin.
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spelling pubmed-103187032023-07-05 Diagnosis and management of intercostal intramuscular hemangioma: an updated review Ochi, Takahiro Sekine, Yasuo Koh, Eitetsu Hoshino, Hidehisa Nakazawa, Tadao J Cardiothorac Surg Case Report BACKGROUND: Intramuscular hemangioma (IMH) is an uncommon type of hemangioma, and primary IMH of the intercostal muscle is even rarer. Only a few reports describe IMH of the intercostal muscle, and there are no review articles on this topic. We report our experience with a younger female patient, who underwent video-assisted thoracic surgery with tumor resection and review the previous literatures of intercostal IMH. CASE PRESENTATION: An asymptomatic 17-year-old woman showed a 29-mm, homogeneous, intrathoracic nodule in the left chest wall, attached to the second and third ribs on computed tomography. We performed exploratory thoracoscopic surgery and the tumor was excised without surrounding rib resection. Histopathologic examination of the surgical specimen revealed proliferation of small blood vessels within the surrounding striated muscle, leading to the diagnosis of intercostal IMH. The surgical margin was negative. The patient’s postoperative course was uneventful, and there has been no evidence of recurrence for more than 18 months after surgery. CONCLUSIONS: We describe a case of intercostal IMH, who received tumor resection with clear excision margin without surrounding rib resection. Preoperative diagnosis is challenging due to its rarity, but intercostal IMH should be recalled as a differential diagnosis of chest wall tumor. Tumor excision without surrounding rib resection is acceptable for intercostal IMH, when there is a good possibility of achieving negative surgical margin. BioMed Central 2023-07-04 /pmc/articles/PMC10318703/ /pubmed/37403180 http://dx.doi.org/10.1186/s13019-023-02328-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Ochi, Takahiro
Sekine, Yasuo
Koh, Eitetsu
Hoshino, Hidehisa
Nakazawa, Tadao
Diagnosis and management of intercostal intramuscular hemangioma: an updated review
title Diagnosis and management of intercostal intramuscular hemangioma: an updated review
title_full Diagnosis and management of intercostal intramuscular hemangioma: an updated review
title_fullStr Diagnosis and management of intercostal intramuscular hemangioma: an updated review
title_full_unstemmed Diagnosis and management of intercostal intramuscular hemangioma: an updated review
title_short Diagnosis and management of intercostal intramuscular hemangioma: an updated review
title_sort diagnosis and management of intercostal intramuscular hemangioma: an updated review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318703/
https://www.ncbi.nlm.nih.gov/pubmed/37403180
http://dx.doi.org/10.1186/s13019-023-02328-9
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