Intercostal Muscle Cavernous Haemangioma: A Chest Wall Pandora's Box.
Cavernous haemangioma
chest wall tumour
histopathology
surgery
Journal
European journal of case reports in internal medicine
ISSN: 2284-2594
Titre abrégé: Eur J Case Rep Intern Med
Pays: Italy
ID NLM: 101648453
Informations de publication
Date de publication:
2021
2021
Historique:
received:
26
12
2020
accepted:
04
01
2021
entrez:
15
2
2021
pubmed:
16
2
2021
medline:
16
2
2021
Statut:
epublish
Résumé
Haemangiomas are uncommon chest wall tumours arising outside the rib cage. Their occurrence in intercostal muscle is extremely rare. We describe a case of intercostal muscle cavernous haemangioma as a differential diagnosis for chest wall swelling. We describe an 18-year-old male patient with an asymptomatic left-sided chest wall swelling. Contrast-enhanced computed tomography revealed a well-defined homogenously non-enhancing mass lesion arising from the seventh intercostal muscle with differential diagnoses of various chest wall tumours. Clinical presentation and imaging findings were inconclusive, but histopathological examination following excision biopsy revealed a cavernous haemangioma. The present case emphasizes the importance of histopathological diagnosis when clinical and radiological examination is inconclusive. Hence, it is necessary to consider intercostal muscle haemangiomas as a differential diagnosis for chest wall tumours in the absence of a feeding vessel. Despite its rare occurrence, intercostal muscle haemangioma must be considered as a differential diagnosis in chest wall tumours even in the absence of a feeding vessel. We believe that histopathology can provide a definitive diagnosis when most investigative procedures are inconclusive. Haemangiomas are rare chest wall tumours and even rarer when they originate from intercostal muscle.Intercostal muscle haemangiomas should be included in the differential diagnosis of chest wall tumours even in the absence of a feeding vessel.The present case emphasizes the importance of histopathological diagnosis when clinical and radiological examinations are inconclusive.
Sections du résumé
BACKGROUND
BACKGROUND
Haemangiomas are uncommon chest wall tumours arising outside the rib cage. Their occurrence in intercostal muscle is extremely rare.
AIM
OBJECTIVE
We describe a case of intercostal muscle cavernous haemangioma as a differential diagnosis for chest wall swelling.
CASE DESCRIPTION
METHODS
We describe an 18-year-old male patient with an asymptomatic left-sided chest wall swelling. Contrast-enhanced computed tomography revealed a well-defined homogenously non-enhancing mass lesion arising from the seventh intercostal muscle with differential diagnoses of various chest wall tumours. Clinical presentation and imaging findings were inconclusive, but histopathological examination following excision biopsy revealed a cavernous haemangioma. The present case emphasizes the importance of histopathological diagnosis when clinical and radiological examination is inconclusive. Hence, it is necessary to consider intercostal muscle haemangiomas as a differential diagnosis for chest wall tumours in the absence of a feeding vessel.
CONCLUSION
CONCLUSIONS
Despite its rare occurrence, intercostal muscle haemangioma must be considered as a differential diagnosis in chest wall tumours even in the absence of a feeding vessel. We believe that histopathology can provide a definitive diagnosis when most investigative procedures are inconclusive.
LEARNING POINTS
CONCLUSIONS
Haemangiomas are rare chest wall tumours and even rarer when they originate from intercostal muscle.Intercostal muscle haemangiomas should be included in the differential diagnosis of chest wall tumours even in the absence of a feeding vessel.The present case emphasizes the importance of histopathological diagnosis when clinical and radiological examinations are inconclusive.
Identifiants
pubmed: 33585348
doi: 10.12890/2021_002248
pii: 2248-1-19890-1-10-20210125
pmc: PMC7875575
doi:
Types de publication
Journal Article
Langues
eng
Pagination
002248Informations de copyright
© EFIM 2021.
Déclaration de conflit d'intérêts
Conflicts of Interests: The Authors declare that there are no competing interests.
Références
Br J Surg. 1957 Mar;44(187):496-501
pubmed: 13510618
J Vis Surg. 2017 Jul 26;3:95
pubmed: 29078657
Kardiochir Torakochirurgia Pol. 2016 Mar;13(1):58-60
pubmed: 27212983
Radiographics. 2011 May-Jun;31(3):749-70
pubmed: 21571655
Int J Surg Case Rep. 2019;60:319-322
pubmed: 31280064
Tex Heart Inst J. 2010;37(4):486-9
pubmed: 20844630