Hostname: page-component-848d4c4894-wg55d Total loading time: 0 Render date: 2024-05-01T11:29:41.476Z Has data issue: false hasContentIssue false
  • English
  • Français

Ultrasound-guided core-needle biopsy and magnetic resonance imaging in the accurate diagnosis of intramuscular haemangiomas of the head and neck

Published online by Cambridge University Press:  19 January 2012

R Salzman ,
M A Buchanan ,
L Berman  and
P Jani
R Salzman
Affiliation:
Department of ENT, Addenbrooke's Hospital, Cambridge, UK
M A Buchanan
Affiliation:
Department of ENT, Addenbrooke's Hospital, Cambridge, UK
L Berman
Affiliation:
Department of Radiology, Addenbrooke's Hospital, Cambridge, UK
P Jani*
Affiliation:
Department of ENT, Addenbrooke's Hospital, Cambridge, UK
*
Address for correspondence: Mr P Jani, Addenbrooke's Hospital, ENT Department, Box 48, Hills Road, Cambridge CB2 0QQ, UK Fax: + 44 (0)1223 217559 E-mail: piyush.jani@addenbrookes.nhs.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

Intramuscular haemangiomas of the digastric muscle are often misdiagnosed due to their low incidence and non-specific manifestation. Only two out of six previously reported cases were diagnosed correctly before excision. Ultrasound may not reveal their vascularity, and fine-needle aspiration biopsy is unhelpful as it reveals only blood.

Methods:

A case of intramuscular haemangioma of the posterior belly of the digastric muscle is described. Previously reported cases are reviewed. Investigations used to diagnose the lesions and reasons for their common failure are discussed.

Results:

Core-needle biopsy led to the correct histological diagnosis, and magnetic resonance imaging precisely located the lesion within the digastric muscle.

Conclusion:

Core-needle biopsy was safely used in the diagnosis of an intramuscular haemangioma. The combination of core-needle biopsy and meticulous review of magnetic resonance imaging enables accurate diagnosis pre-operatively.

Keywords

NeckHemangiomaDiagnosisNeedle BiopsyMagnetic Resonance ImagingDigastric Muscle
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 4 , April 2012 , pp. 391 - 394
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Wolf, GT, Daniel, F, Krause, CJ, Kaufman, RS. Intramuscular haemangioma of the head and neck. Laryngoscope 1985;95:210–13Google Scholar
2Scott, JES. Haemangiomata in skeletal muscles. Brit J Surg 1957;44:496–501CrossRefGoogle Scholar
3Batsakis, JG. Tumours of the Head and Neck – Clinical and Pathological Considerations, 2nd edn.Baltimore: Williams and Wilkins, 1979Google Scholar
4Rossiter, GL, Hendrix, RA, Tom, LWC, Potsic, WP. Intramuscular haemangioma of the head and neck. Otolaryngol Head Neck Surg 1993;108:18–26CrossRefGoogle ScholarPubMed
5Harar, RPS, Kalan, A, Brown, CL, Path, CL, Kenyon, GS. An unique tumour of the geniohyoid muscle: an intramuscular haemangioma. J Laryngol Otol 1997;111:769–71Google Scholar
6Giudice, M, Piazza, C, Bolzoni, A, Peretti, G. Head and neck intramuscular haemangioma: report of two cases with unusual localization. Eur Arch Otorhinolaryngol 2003;260:498–501Google Scholar
7Slack, RWT, Milroy, C, Parker, A. Rare submandibular swelling (capillary haemangioma). J Laryngol Otol 1989;103:632–3Google Scholar
8Lee, JK, Lim, SC. Intramuscular haemangiomas of the mylohyoid and sternocleidomastoid muscle. Auris Nasus Larynx 2005;32:323–7CrossRefGoogle ScholarPubMed
9Chaudhary, N, Jain, A, Gudwani, S, Kapoor, R, Motwani, G. Intramuscular haemangioma of head and neck region. J Laryngol Otol 1998;112:1199–201CrossRefGoogle ScholarPubMed
10Allen, PW, Enzinger, FM. Haemangioma of skeletal muscle: an analysis of 89 cases. Cancer 1972;29:8–22Google Scholar
11Colagoclu, O, Tafiran, B, Yazici, N, Buyrac, Z, Ünsal, B. Safety of biopsy in liver haemangiomas. Turk J Gastroenterol 2005;16:220–3Google Scholar
12Clement, WA, Graham, I, Rawlings, D, Ablett, M, Dempster, JH. Intramuscular haemangioma of the posterior belly of the digastric muscle failing to highlight on magnetic resonance imaging. Ann Otol Rhinol Laryngol 2002;111:1050–3CrossRefGoogle ScholarPubMed
13Sichel, JY, Rosenmann, E, Eliashar, R, Chisin, R. Intramuscular haemangioma of the posterior belly of digastric muscle mimicking a parotid tumor. Ann Otol Rhinol Laryngol 1998;107:178–80Google Scholar
14Sayan, NB, Kogo, M, Koizumi, H, Watatani, K, Saka, M, Matsuya, T et al. Intramuscular haemangioma in the digastric muscle. J Osaka Univ Dent Sch 1992;32:14–20Google ScholarPubMed
15Clemis, JD, Briggs, DR, Changeus, GW. Intramuscular hemangioma in the head and neck. Can J Otolaryngol 1975;4:339–46Google ScholarPubMed