CHRU Tours, Department of Dermatology, Unit of Pediatric dermatology, Tours, France; Reference center for genodermatoses and rare skin diseases (MAGEC-Tours), Tours.
3Reference center for vascular anomalies FAVA-multi, University Hospital of Lariboisière; Coordinator of the constitutive center for superficial arteriovenous malformations in children and adults; AP-HP, Department of Neuroradiology, Paris, France.
Acta Derm Venereol. 2023 Mar 20;103:adv00893. doi: 10.2340/actadv.v103.4432.
Intramuscular capillary-type haemangiomas (ICTH) are rare vascular anomalies that can easily be misdiagnosed as other entities. A systematic review was performed of all cases of ICTH in the literature since its first description in 1972. An adjudication committee reviewed cases to include only ICTHs. Among 1,143 reports screened, 43 were included, involving 75 patients. The most frequent differential diagnosis was intramuscular venous malformations. The mean age of patients at diagnosis was 21.2 years. ICTH was mainly described as a gradually increasing mass (81.8%), painless (73.9%), that could occur anywhere in the body but most frequently on the head and neck (44.0%). Magnetic resonance imaging (MRI) was mainly used for diagnosis (69.1%) and displayed specific features. The most frequent treatment was complete surgical removal (73.9%), which could be preceded by embolization, and led to complete remission without recurrence in all but 1 case.
肌内毛细血管型血管瘤(ICTH)是一种罕见的血管异常,很容易被误诊为其他实体。对自 1972 年首次描述以来文献中所有 ICTH 病例进行了系统回顾。一个裁决委员会审查了病例,只包括 ICTH。在筛选出的 1143 份报告中,有 43 份被纳入,涉及 75 名患者。最常见的鉴别诊断是肌内静脉畸形。患者的平均诊断年龄为 21.2 岁。ICTH 主要表现为逐渐增大的肿块(81.8%)、无痛(73.9%),可发生于身体任何部位,但最常见于头部和颈部(44.0%)。磁共振成像(MRI)主要用于诊断(69.1%),并显示出特定的特征。最常见的治疗方法是完全手术切除(73.9%),可在切除前进行栓塞,除 1 例外,所有病例均完全缓解,无复发。