Alqahtani Ahmed A, AlQarni Abdulaziz A, Abbas Munzir M, Alkhani Ahmad M
Department of Neurosurgery, King Abdulaziz Medical City, Riyadh, SAU.
Cureus. 2022 Mar 15;14(3):e23166. doi: 10.7759/cureus.23166. eCollection 2022 Mar.
Hemangiomas are nonmalignant vascular lesions commonly seen in both the skin and mucosa that rarely occur in skeletal muscles. According to the type of vessel, a hemangioma can be differentiated into capillary, cavernous, or mixed types. The following report describes a case of temporalis muscle hemangioma in a 45-year-old female who presented with painful swelling in the left outer orbital wall, which had been growing in size over the past 12 months. CT scan and MRI revealed a well-demarcated lesion in the temporalis muscle measuring 10 mm × 13 mm × 15 mm. Surgical resection of the lesion was performed, allowing a definitive diagnosis of cavernous hemangioma to be made histologically. As radiological images are mainly inadequate for definitively diagnosing these lesions, surgical intervention is usually required. The recurrence rate differs among the three subtypes; thus, clinical follow-up and radiological imaging as needed are recommended.
血管瘤是常见于皮肤和黏膜的非恶性血管病变，很少发生于骨骼肌。根据血管类型，血管瘤可分为毛细血管瘤、海绵状血管瘤或混合型。以下报告描述了一例45岁女性颞肌血管瘤病例，该患者表现为左眶外壁疼痛性肿胀，在过去12个月中肿物逐渐增大。CT扫描和MRI显示颞肌内有一个边界清晰的病变，大小为10 mm×13 mm×15 mm。对该病变进行了手术切除，组织学检查确诊为海绵状血管瘤。由于放射学图像主要不足以明确诊断这些病变，通常需要手术干预。三种亚型的复发率不同；因此，建议根据需要进行临床随访和放射学成像检查。
