Dahmam A, Meyer Zu Reckendorf G
Institut montpelliérain de la main et du membre supérieur, clinique Saint-Roch, 560, rue du Colonel-Pavelet, 34070 Montpellier, France.
Institut montpelliérain de la main et du membre supérieur, clinique Saint-Roch, 560, rue du Colonel-Pavelet, 34070 Montpellier, France.
Hand Surg Rehabil. 2017 Dec;36(6):416-418. doi: 10.1016/j.hansur.2017.09.001. Epub 2017 Oct 16.
Intramuscular hemangiomas are benign vascular tumors. They develop in striated muscles. Various sites have been reported in the literature but only rarely in the hand. We report on a case of an intramuscular hemangioma located within the hypothenar eminence, diagnosed by a biopsy. Treatment options are limited in the hand as embolization may lead to a risk of digital ischemia and sclerotherapy may lead to recurrence. This type of infiltrating tumor is poorly structured within the muscle, thus simple removal is not an option. Surgical excision of the entire affected muscle, in our case the abductor digiti minimi, was performed without any consequences on the hand's function and no signs of recurrence at the latest follow-up of 6months.
肌内血管瘤是一种良性血管肿瘤。它们发生于横纹肌。文献报道了血管瘤的各种发病部位，但手部发病极为罕见。我们报告一例位于小鱼际隆起内的肌内血管瘤，经活检确诊。手部的治疗选择有限，因为栓塞可能导致手指缺血风险，而硬化疗法可能导致复发。这种浸润性肿瘤在肌肉内结构不佳，因此单纯切除并非可行方案。我们对整个受累肌肉（在本例中为小指展肌）进行了手术切除，对手部功能没有任何影响，在最近6个月的随访中也没有复发迹象。
