来源于咬肌的肌内海绵状血管瘤。

Intramuscular cavernous hemangioma arising from the masseter muscle.

机构信息

Pôle TCCR, clinique universitaire d'ORL, CHU de Grenoble, 1, avenue des Maquis du Grésivaudan, 38043, Grenoble cedex 09, France; Faculté de médecine, université Joseph-Fourier, Grenoble I, 363, rue de la Chimie-Domaine de la Merci, 38706 La Tronche cedex, France; Inserm-UJF U823, institut Albert-Bonniot, UJF Site Santé, BP 170, La Tronche, 38042 Grenoble cedex 9, France.

Pôle TCCR, clinique universitaire d'ORL, CHU de Grenoble, 1, avenue des Maquis du Grésivaudan, 38043, Grenoble cedex 09, France.

出版信息

Eur Ann Otorhinolaryngol Head Neck Dis. 2014 Feb;131(1):57-9. doi: 10.1016/j.anorl.2013.03.003. Epub 2013 Jul 9.

DOI:10.1016/j.anorl.2013.03.003

PMID:23845293

Abstract

INTRODUCTION

Only 10% of intramuscular hemangiomas (IMH) are located in the head and neck region. There are very few reports of masseteric location. The present study of a case of intra-masseteric cavernous hemangioma discusses clinical presentation, paraclinical diagnostic workup and treatment options.

CASE REPORT

A 70-year-old male patient consulted for a swelling of 2 years' evolution, anterior to the left parotid gland. The swelling was firm, painless, well-contoured, oblong, 3 cm on its long axis, and located in the masseter muscle. There was no effect of head position on tumor volume. MRI showed a vascular tumor. Surgical resection was performed via parotidectomy. There were no postoperative complications. Pathological examination confirmed the diagnosis of cavernous hemangioma.

DISCUSSION

Head and neck IMH is commonly located in the masseter muscle. Evolution is slow. Size is variable, contours are well defined and the surface is smooth. MRI is essential ahead of treatment, which is surgical on an external or intra-oral approach.

摘要