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International Orthopaedics

, Volume 31, Issue 4, pp 569–575 | Cite as

Imaging strategies in intramuscular haemangiomas: an analysis of 20 cases

  • Jia-Lin Wu
  • Chia-Chun Wu
  • Shyu-Jye Wang
  • Yen-Ju Chen
  • Guo-Shu Huang
  • Shing-Sheng Wu
Original Paper

Abstract

The purpose of this study was to review the correlation between the imaging studies and the histological findings in the diagnosis of this disease. We retrospectively reviewed 21 lesions in 20 patients (median age, 23.7 years old) who had been diagnosed with cavernous haemangiomas (n=11), capillary (n=6), and mixed (n=3) types. The imaging studies were obtained with plain film radiography (n=20), Tc-99 m bone scans (n=5), angiography (n=7) and magnetic resonance imaging (MRI; n=20). All the patients underwent marginal to wide excision. Based on the imaging studies, the rate of accurate prediction of intramuscular haemangioma using MRI in our study was 90%. Using the preoperative imaging studies and surgical excisions, only one (5%) local recurrence happened 2 years after marginal excision. The remaining patients were free of disease. For the avoidance of recurrence, wide excision is necessary with the help of the imaging studies, which can provide more specific information, making possible the preoperative identification of characteristic features of the tumuor.

Keywords

Plain Film Wide Excision Cavernous Haemangioma Marginal Excision Intermediate Signal Intensity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Le but de cette étude est de montrer la corrélation entre les images radiologiques et les constatations histologiques dans le diagnostic des hémangiomes. Pour cette étude, 21 lésions chez 20 patients (âge moyen 23.7 ans) pour lesquels ont été diagnostiqués un hémangiome caverneux (11), capillaire (6) et mixte (3). Le diagnostic de ces hémangiomes ayant été réalisé par radiographie simple (20), scanner avec technecium (5), angiographie (7) et IRM (20). Tous ces cas ont bénéficié d’une excision large. A partir des images IRM, la prédiction d’hémangiomes intra-musculaires a été de 90%. Seuls 5% des patients présentaient une récidive locale 2 ans après l’excision, les patients restant n’ayant pas présenté de problèmes particuliers. Afin d’éviter la récidive, il est nécessaire de réaliser une excision large à partir du bilan radiographique, scanner, IRM.

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Jia-Lin Wu
    • 1
  • Chia-Chun Wu
    • 1
  • Shyu-Jye Wang
    • 1
  • Yen-Ju Chen
    • 3
  • Guo-Shu Huang
    • 2
  • Shing-Sheng Wu
    • 1
  1. 1.Department of Orthopaedic SurgeryTri-Service General Hospital, National Defense Medical CenterTaipeiRepublic of China
  2. 2.Department of Diagnostic RadiologyTri-Service General Hospital, National Defense Medical CenterTaipeiRepublic of China
  3. 3.Department of Physical TherapyNational Yang-Ming UniversityTaipeiRepublic of China

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