Intramuscular cavernous hemangioma arising from the masseter muscle

C A Righini; E Berta; I Atallah

doi:10.1016/j.anorl.2013.03.003

Intramuscular cavernous hemangioma arising from the masseter muscle

Eur Ann Otorhinolaryngol Head Neck Dis. 2014 Feb;131(1):57-9. doi: 10.1016/j.anorl.2013.03.003. Epub 2013 Jul 9.

Authors

C A Righini¹, E Berta², I Atallah³

Affiliations

¹ Pôle TCCR, clinique universitaire d'ORL, CHU de Grenoble, 1, avenue des Maquis du Grésivaudan, 38043, Grenoble cedex 09, France; Faculté de médecine, université Joseph-Fourier, Grenoble I, 363, rue de la Chimie-Domaine de la Merci, 38706 La Tronche cedex, France; Inserm-UJF U823, institut Albert-Bonniot, UJF Site Santé, BP 170, La Tronche, 38042 Grenoble cedex 9, France. Electronic address: CRighini@chu-grenoble.fr.
² Pôle TCCR, clinique universitaire d'ORL, CHU de Grenoble, 1, avenue des Maquis du Grésivaudan, 38043, Grenoble cedex 09, France.
³ Pôle TCCR, clinique universitaire d'ORL, CHU de Grenoble, 1, avenue des Maquis du Grésivaudan, 38043, Grenoble cedex 09, France; Faculté de médecine, université Joseph-Fourier, Grenoble I, 363, rue de la Chimie-Domaine de la Merci, 38706 La Tronche cedex, France; Inserm-UJF U823, institut Albert-Bonniot, UJF Site Santé, BP 170, La Tronche, 38042 Grenoble cedex 9, France.

PMID: 23845293
DOI: 10.1016/j.anorl.2013.03.003

Abstract

Introduction: Only 10% of intramuscular hemangiomas (IMH) are located in the head and neck region. There are very few reports of masseteric location. The present study of a case of intra-masseteric cavernous hemangioma discusses clinical presentation, paraclinical diagnostic workup and treatment options.

Case report: A 70-year-old male patient consulted for a swelling of 2 years' evolution, anterior to the left parotid gland. The swelling was firm, painless, well-contoured, oblong, 3 cm on its long axis, and located in the masseter muscle. There was no effect of head position on tumor volume. MRI showed a vascular tumor. Surgical resection was performed via parotidectomy. There were no postoperative complications. Pathological examination confirmed the diagnosis of cavernous hemangioma.

Discussion: Head and neck IMH is commonly located in the masseter muscle. Evolution is slow. Size is variable, contours are well defined and the surface is smooth. MRI is essential ahead of treatment, which is surgical on an external or intra-oral approach.

Keywords: Diagnosis; Intramuscular hemangioma; Masseter muscle; Treatment.

Publication types

Case Reports

MeSH terms

Aged
Hemangioma, Cavernous* / diagnosis
Hemangioma, Cavernous* / surgery
Humans
Male
Masseter Muscle*
Muscle Neoplasms* / diagnosis
Muscle Neoplasms* / surgery