AI Article Synopsis
- Intramuscular hemangioma is a rare vascular malformation typically found in muscle tissues, especially in the lower limbs of children, but cases affecting the sternum are particularly uncommon.
- A 47-year-old female experiencing severe chest pain underwent various imaging tests, revealing potential benign changes in the sternum, but no cancer cells were detected during further examinations.
- The final diagnosis was intramuscular hemangioma confirmed through surgical biopsy, highlighting the challenges in preoperative diagnosis and the importance of complete surgical resection tailored to the patient's needs.
Article Abstract
Background: Intramuscular hemangioma is a vascular malformation occurring in muscle tissues. It is most common in skeletal muscles of limbs, especially lower limbs in childhood. The intercostal intramuscular hemangioma with sternal invasion is very rare.
Case Presentation: The 47-year-old female patient was hospitalized due to "suddenly chest pain for 4 days". Chest contrast-enhanced CT indicated bony changes in the sternum, accompanied by soft tissue shadows in the posterior sternum and diaphragmatic angle. After admission, physical examination showed: peristernal tenderness, percussion pain, other no obvious positive signs. PET-CT examination indicated that there was a high possibility of benign sternal changes. No cancer cells were found by sternal puncture. Surgical biopsy was performed and pathological findings were consistent with intramuscular hemangioma.
Conclusion: Intramuscular hemangioma with bone invasion is very rare, imaging examination is difficult to indicate obvious evidence, preoperative diagnosis is difficult, complete surgical resection is very important, more personalized treatment should be provided according to the overall situation of the patient.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473354 | PMC |
| http://dx.doi.org/10.3389/fonc.2024.1360626 | DOI Listing |
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