Extremity localized intramuscular hemangiomas, follow up or surgery?

INTRODUCTION: In this study, we evaluated the retrospective analysis of 44 patients with the diagnosis of extremity located intramuscular hemangiomas
METHODS: 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 recurrens
DISCUSSION 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.

Ekstremite yerleþimli intramüsküler hemanjiyomlarda takip mi? cerrahi mi?

GÝRÝÞ ve AMAÇ: Bu çalýþmada ekstremite yerleþimli intramusküler hemanjiom tanýlý, takip ve tedavisi yapýlmýþ 44 hastanýn retrospektif analizi incelenmiþtir
YÖNTEM ve GEREÇLER: Hastalarýn 25’i kadýn, 19’u erkek idi. Hemanjiomlarýn 22’si uylukta, 8’i bacakta, 6’sý önkolda, 4’ü dirsekde, 2’si üst kolda, biri omuzda ve biri popliteal bölgede idi. Malignite þüphesi olan 10 hastaya tru-cut biyopsi yapýldý. Diðer hastalara klinik ve radyolojik olarak taný konuldu. Hastalarýn 32’si izleme alýnýrken, 12’sine cerrahi eksizyon uygulandý.
BULGULAR: Hiçbir hastada ameliyat içi komplikasyon olmadý. Cerrahi gruptaki 3 hastaya embolizasyon uygulandý. Postoperatif takiplerde 1 hastada enfeksiyon, 2 hastada nüks saptandý.
TARTIÞMA ve SONUÇ: Semptomatik ekstremite yerleþimli intramusküler hemanjiomlarda kitlede progresyon olmasý, ekstremite fonksiyon bozukluðu olmasý, malignite þüphesi ve giderilemeyen aðrý durumlarý dýþýnda, izlemin güncel tedavi yöntemi olduðunu düþünmekteyiz.