Two different treatment options for intramuscular plantar hemangioma: surgery versus percutaneous sclerotherapy

J Foot Ankle Surg. 2014 Nov-Dec;53(6):759-62. doi: 10.1053/j.jfas.2014.06.008. Epub 2014 Aug 12.

Abstract

Intramuscular hemangiomas are benign neoplasms usually seen in children and adolescents. They tend to occur in the deep fascia and muscle and more often in the lower extremity, although they are rarely encountered in the plantar musculature. Surgical excision, ultrasound- or fluoroscopic-guided percutaneous sclerotherapy, and angiographic embolization are all treatment options. Surgical excision is the most prevalent form of therapy, although this can be difficult in the hands and feet. For this reason, ultrasound- and fluoroscopic-guided percutaneous sclerotherapy is a useful treatment option for pedal intramuscular hemangioma. In the present report, we describe 2 cases of intramuscular hemangioma in children, 1 treated by excision and 1 by percutaneous sclerosis.

Keywords: benign vascular neoplasm; capillary; excision; fluoroscopy; foot; magnetic resonance image.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Child
  • Female
  • Foot
  • Hemangioma / diagnosis
  • Hemangioma / diagnostic imaging
  • Hemangioma / surgery
  • Hemangioma / therapy*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Muscle Neoplasms / diagnosis
  • Muscle Neoplasms / diagnostic imaging
  • Muscle Neoplasms / surgery
  • Muscle Neoplasms / therapy*
  • Polidocanol
  • Polyethylene Glycols / administration & dosage
  • Sclerosing Solutions / administration & dosage
  • Sclerotherapy*
  • Ultrasonography, Doppler, Duplex
  • Ultrasonography, Interventional

Substances

  • Sclerosing Solutions
  • Polidocanol
  • Polyethylene Glycols