Gaydarski Lyubomir, Petrova Kristina, Landzhov Boycho, Georgiev Georgi P
Department of Anatomy, Histology and Embryology, Medical University of Sofia, Sofia, BGR.
Clinical Laboratory, Medical University of Sofia, Sofia, BGR.
Cureus. 2024 Sep 5;16(9):e68711. doi: 10.7759/cureus.68711. eCollection 2024 Sep.
Hemangiomas are benign tumors characterized by an abnormal proliferation of blood vessels, which can be particularly challenging to diagnose and manage when located in unusual sites such as the foot. Herein, we report a case of a 36-year-old woman with a plantar hemangioma on the right foot, characterized by a long-standing, periodically changing subcutaneous lump. Clinical examination and magnetic resonance imaging revealed a hyperintense mass involving the musculus flexor digitorum brevis. The patient underwent surgical excision, which was complicated by intraoperative rupture of the mass but ultimately resulted in complete removal. Histopathological analysis confirmed the diagnosis of an intramuscular hemangioma. Postoperative recovery was uneventful, and follow-up showed no recurrence after six months. This case highlights the critical role of accurate diagnosis through physical examination and imaging, particularly magnetic resonance imaging, to differentiate benign hemangiomas from malignant tumors and guide treatment. While surgical excision is the primary treatment for symptomatic or cosmetically concerning hemangiomas, less invasive alternatives like sclerotherapy may be appropriate for superficial lesions. Effective management requires precise diagnostic imaging and a tailored therapeutic approach.
血管瘤是一种以血管异常增生为特征的良性肿瘤，当位于足部等不寻常部位时，其诊断和治疗可能极具挑战性。在此，我们报告一例36岁女性，其右足有一足底血管瘤，表现为一个长期存在、周期性变化的皮下肿块。临床检查和磁共振成像显示一个高信号肿块累及趾短屈肌。患者接受了手术切除，术中肿块破裂，使手术复杂化，但最终实现了完全切除。组织病理学分析确诊为肌内血管瘤。术后恢复顺利，随访6个月未见复发。该病例强调了通过体格检查和影像学检查，尤其是磁共振成像进行准确诊断的关键作用，以区分良性血管瘤和恶性肿瘤并指导治疗。虽然手术切除是有症状或影响美观的血管瘤的主要治疗方法，但对于浅表病变，硬化治疗等侵入性较小的替代方法可能是合适的。有效的管理需要精确的诊断成像和量身定制的治疗方法。
