Abstract
Purpose
We report a case of intramuscular hemangioma (IMH) in upper eyelid-misdiagnosed as pseudotumor-along with its pathologic findings.
Case summary
A 48-year-old male patient presented with three months of upper eyelid swelling in his left eye of no symptom relief with oral corticosteroid for 5 weeks. Computed tomography findings show diffuse enhancement in left upper eyelid suggested for pseudotumor and retreated with oral corticosteroids and intralesional corticosteroid injections. However, lid inflammation was not improved. The patient underwent incisional biopsy.
Conclusions
Microscopically, the lesion was composed of proliferating vessels of various sizes between the individual muscle fibers. Intramuscular hemangioma that is rarely presented benign tumor in the head and neck region can be presented by diffuse swelling mimicking the pseudotumor rather than a palpable mass.
References
1. Rossiter JL, Hendrix RA, Tom LW, Potsic WP. Intramuscular hemangioma of the head and neck. Otolaryngol Head Neck Surg. 1993. 108:18–26.
2. Lopez-Cedrun JL, Urtasun Fernandez J, Melendez Baltanas J, Lopez Garcia JA. Hemangioma of the temporalis muscle: a case report and review of the literature. J Oral Maxillofac Surg. 1996. 54:1130–1132.
3. Allen PW, Enzinger FM. Hemangioma of skeletal muscle. An analysis of 89 cases. Cancer. 1972. 29:8–22.
4. Wolf GT, Daniel F, Krause CJ, Kaufman RS. Intramuscular hemangioma of the head and neck. Laryngoscope. 1985. 95:210–213.
5. Weiss SW, Goldblum JR. Enzinger and Weiss's Soft Tissue Tumors. 2001. 4th ed. St. Louis: Mosby;869–872.
6. Skoulakis CE, Maistrou D, Drivas EI, et al. Intramuscular haemangioma of the orbicularis oculi muscle of the orbit. Acta Otorhinolaryngol Ital. 2007. 27:263–265.
7. Lee HC, Lee SJ, Kim YD. Intramuscular hemangioma of the upper lid. J Korean Ophthalmol Soc. 2003. 44:2428–2433.
8. Liston R. Case of erectile tumour in the popliteal space.-Removal. Med Chir Trans. 1843. 26:120–132.
9. Kiratli H, Bilgiç S, Cağlar M, et al. Intramuscular hemangiomas of extraocular muscles. Ophthalmology. 2003. 110:564–568.
10. Christensen SR, Børgesen SE, Heegaard S, Prause JU. Orbital intramuscular haemangioma. Acta Ophthalmol Scand. 2002. 80:336–339.
11. Giudice M, Piazza C, Bolzoni A, Peretti G. Head and neck intramuscular haemangioma: report of two cases with unusual localization. Eur Arch Otorhinolaryngol. 2003. 260:498–501.
12. Clemis JD, Briggs DR, Changus GW. Intramuscular hemangioma in the head and neck. Can J Otolaryngol. 1975. 4:339–346.
13. Cohen EK, Kressel HY, Perosio T, et al. MR imaging of soft-tissue hemangiomas: correlation with pathologic findings. AJR Am J Roentgenol. 1988. 150:1079–1081.
14. Buetow PC, Kransdorf MJ, Moser RP Jr, et al. Radiologic appearance of intramuscular hemangioma with emphasis on MR imaging. AJR Am J Roentgenol. 1990. 154:563–567.
15. Stofman GM, Reiter D, Feldman MD. Invasive intramuscular hemangiomas of the head and neck. Ear Nose Throat J. 1989. 68:612–616.
16. Chen MT, Yeong EK, Horng SY. Intralesional corticosteroid therapy in proliferating head and neck hemangiomas: a review of 155 cases. J Pediatr Surg. 2000. 35:420–423.