Öz
INTRODUCTION: In this study, we evaluated the retrospective analysis of 44 patients with the diagnosis of extremity located intramuscular hemangiomasMETHODS: Twenty five of the patients were female, and nineteen male. Twenty two of the hemagiomas were in thigh,8 were in cruris, 6 were in forearm,4 in elbow,2 in arm,one in shoulder, one in popliteal area. Ten patients who had malignancy potential, were maken tru-cut biyopsy. The other patients were diagnosed with clinical and radiological signs. Thirty two patients were followed up. 12 were treated surgery total excision.RESULTS: No intraoperastive complications were recorded. Three patients were treated with embolization, one of the patient was recorded local infection, two were recorded recurrensDISCUSSION AND CONCLUSION: The current treatment of the symptomatic extremity located intramuscular hemangiomas is conservative follow up, if the patients has not progressive mass, extremity dysfunction, malignancy suspicion and intarctable pain.
Anahtar Kelimeler
Kaynakça
- Campanacci M. Angiomas and angiodysplasias. In bone and Soft Tissue Tumors, 2nd ed. Springer Verlag. Wien New York, 1999;1051-77
- Wild AT, Raab P, Krauspe R. Hemangioma of skeletal muscle. Arch Orthop Trauma Surg. 2000;120(3-4):139-43
- Olsen KI, Stacy GS, Montag A. Soft-tissue cavernous hemangioma. Radiographics. 2004 May- Jun;24(3):849-54
- Joseph M,Jeffrey H, Mark T, MD, Charles H, John D, James R, Intramuscular Hemangiomas Sports Health. 2013;Sep 5(5): 448–54
- Buetow PC, Kransdorf MJ, Moser RP, Jelinek JS, Berrey BH. Radiologic appearance of intramuscular hemangioma with emphasis on MR imaging. AJR. 1990;154:563-67
- Bella G, Manivel J, Thompson R, Clohisy D, Cheng E. Intramuscular hemangioma: recurrence risk related to surgical margins. Clin Orthop Relat Res. 2007;459:186-91
- Tang P, Hornicek FJ, Gebhardt MC, Cates J, Mankin HJ. Surgical treatment of hemangiomas of soft tissue. Clin Orthop Relat Res. 2002;399:205-10
Öz
GİRİŞ ve AMAÇ: Bu çalışmada ekstremite yerleşimli intramusküler hemanjiom tanılı, takip ve tedavisi yapılmış 44 hastanın retrospektif analizi incelenmiştirYÖNTEM ve GEREÇLER: Hastaların 25'i kadın, 19'u erkek idi. Hemanjiomların 22'si uylukta, 8'i bacakta, 6'sı önkolda, 4'ü dirsekde, 2'si üst kolda, biri omuzda ve biri popliteal bölgede idi. Malignite şüphesi olan 10 hastaya tru-cut biyopsi yapıldı. Diğer hastalara klinik ve radyolojik olarak tanı konuldu. Hastaların 32'si izleme alınırken, 12'sine cerrahi eksizyon uygulandı.BULGULAR: Hiçbir hastada ameliyat içi komplikasyon olmadı. Cerrahi gruptaki 3 hastaya embolizasyon uygulandı. Postoperatif takiplerde 1 hastada enfeksiyon, 2 hastada nüks saptandı. TARTIŞMA ve SONUÇ: Semptomatik ekstremite yerleşimli intramusküler hemanjiomlarda kitlede progresyon olması, ekstremite fonksiyon bozukluğu olması, malignite şüphesi ve giderilemeyen ağrı durumları dışında, izlemin güncel tedavi yöntemi olduğunu düşünmekteyiz.
Anahtar Kelimeler
Kaynakça
- Campanacci M. Angiomas and angiodysplasias. In bone and Soft Tissue Tumors, 2nd ed. Springer Verlag. Wien New York, 1999;1051-77
- Wild AT, Raab P, Krauspe R. Hemangioma of skeletal muscle. Arch Orthop Trauma Surg. 2000;120(3-4):139-43
- Olsen KI, Stacy GS, Montag A. Soft-tissue cavernous hemangioma. Radiographics. 2004 May- Jun;24(3):849-54
- Joseph M,Jeffrey H, Mark T, MD, Charles H, John D, James R, Intramuscular Hemangiomas Sports Health. 2013;Sep 5(5): 448–54
- Buetow PC, Kransdorf MJ, Moser RP, Jelinek JS, Berrey BH. Radiologic appearance of intramuscular hemangioma with emphasis on MR imaging. AJR. 1990;154:563-67
- Bella G, Manivel J, Thompson R, Clohisy D, Cheng E. Intramuscular hemangioma: recurrence risk related to surgical margins. Clin Orthop Relat Res. 2007;459:186-91
- Tang P, Hornicek FJ, Gebhardt MC, Cates J, Mankin HJ. Surgical treatment of hemangiomas of soft tissue. Clin Orthop Relat Res. 2002;399:205-10
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 26 Aralık 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 48 Sayı: 3 |