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1.
Head Face Med ; 19(1): 1, 2023 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-36639813

RESUMO

BACKGROUND: Hemangiomas are benign tumours, mostly seen in the soft tissues. The intraosseous appearance is rare, in particular in the jaws they represent a very seldom malformation. AIM: To present a combined endodontic and surgical management report of a clinical case with a rare intraosseous hemangioma diagnosis in the mandible. CASE PRESENTATION: This well-documented case report describes the interdisciplinary treatment approach of an intraosseous hemangioma in the left mandible of a 70-year-old male patient. This incidental finding was detected through a routine dental examination. The panoramic radiograph revealed an asymptomatic, apical translucency approximately 15 mm diameter with contact to the mesial root of the tooth 36. The clinical examinations showed no abnormalities. The multifaceted specialized treatments started with the endodontic treatment of the tooth prior to the surgical removal of the lesion and were followed by the histological assessment. As derived from the histologically verified diagnosis, this rare case included the risk of severe bleeding complications during therapy.


Assuntos
Hemangioma , Malformações Vasculares , Masculino , Humanos , Idoso , Seguimentos , Mandíbula/diagnóstico por imagem , Mandíbula/cirurgia , Mandíbula/patologia , Hemangioma/complicações , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia
2.
Int J Hyperthermia ; 40(1): 2146214, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36535918

RESUMO

BACKGROUND: The treatment of hepatic hemangioma includes surgical resection, radiofrequency ablation and Transarterial embolization. However, complications, mortality and compromised effectiveness limit their applications. Microwaves with effective heating generation and short ablation time become a promising treatment. The aim of this study is to conduct systematic review and meta-analyses to evaluate the effectiveness of Microwave Ablation (MWA) for the treatment of hepatic hemangioma. METHODS: A systematic literature review was conducted in PubMed. Main outcomes were defined as hemangioma decreases in diameters and volume changes post-MWA. Conventional random-effect meta-analysis technique was applied to analyze the pooled data, and meta-regression model was established to explore the association among factors. RESULTS: There were nine studies with a total of 501 patients retrieved. The pooled estimate of mean differences and 95% CI of hemangioma decreases after MWA treatment in diameter and in volume change (%) were 3.009 cm and (1.856, 4.161), and 53.169% and (51.274, 55.065), respectively. The pooled estimates of liver enzyme, ALT and AST, elevation were 219.905 with 95%CI (160.860, 278.949) and 315.679 with 95%CI (226.961, 404.397), respectively. Major complications were defined as acute kidney injury (AKI), pleural effusion, diaphragmatic hernia, and jaundice that needed to be treated, and the pooled incidence was 0.017 with 95% CI of (0.006, 0.029). No mortality related to MWA was reported. Meta-regression showed ablation time was associated with pre-operative lesion size (p = .001). CONCLUSION: MWA is effective and safe in treatment of hepatic hemangioma, and our study suggests that hemangioma size should be investigated in the future MWA pretreatment difficulty scoring system study.


Assuntos
Ablação por Cateter , Hemangioma , Neoplasias Hepáticas , Ablação por Radiofrequência , Humanos , Micro-Ondas , Ablação por Cateter/métodos , Neoplasias Hepáticas/cirurgia , Ablação por Radiofrequência/métodos , Hemangioma/cirurgia , Resultado do Tratamento
3.
J Int Med Res ; 50(12): 3000605221140688, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36545868

RESUMO

This case report describes the laparoscopic resection of a rare diaphragmatic haemangioma. A 45-year-old male patient was diagnosed incidentally with a left subphrenic mass by computed tomography. Laparoscopic left subphrenic mass excision was performed under general anaesthesia. A phrenic haemangioma was confirmed by postoperative pathology. Tumours originating in the diaphragm are rare, with only approximately 200 cases reported in the past century. The diaphragmatic tumour was determined to be primary because intraoperative imaging showed that the tumour was relatively isolated and had no obvious relationship with the surrounding tissues and organs.


Assuntos
Hemangioma , Laparoscopia , Neoplasias Musculares , Masculino , Humanos , Pessoa de Meia-Idade , Diafragma/diagnóstico por imagem , Diafragma/cirurgia , Diafragma/patologia , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Neoplasias Musculares/diagnóstico , Neoplasias Musculares/patologia , Neoplasias Musculares/cirurgia , Tórax , Laparoscopia/métodos
4.
BMJ Case Rep ; 15(12)2022 Dec 29.
Artigo em Inglês | MEDLINE | ID: mdl-36581357

RESUMO

In this article, the authors report their management with minimally invasive surgery and embolisation of a bulky intramuscular capillary haemangioma. Masseteric capillary haemangioma is a rare tumour in adults: in cases of large-sized tumours we suggest a multidisciplinary approach in choosing the best treatment and minimally invasive, scarless surgery.


Assuntos
Embolização Terapêutica , Hemangioma Capilar , Hemangioma Cavernoso , Hemangioma , Adulto , Humanos , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Hemangioma/patologia , Hemangioma Capilar/diagnóstico por imagem , Hemangioma Capilar/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos
5.
BMJ Case Rep ; 15(12)2022 Dec 29.
Artigo em Inglês | MEDLINE | ID: mdl-36581363

RESUMO

Haemangiomas of the oral cavity are common benign vascular tumours of infancy. Several treatment modalities are described for haemangiomas, including sclerotherapy, embolisation, laser surgery and cryotherapy. Cryotherapy is the application of varying extremes of low temperatures to destroy abnormal tissue. Since cryosurgery is effective, simple and easy to perform, it is used in the treatment of lesions in both medicine and dentistry. Cryosurgery provides many advantages such as easy operation, absence of intraoperative bleeding and low infection rate. In this case, the cryosurgical treatment of a young patient who suffered from multiple haemangiomas of the oral cavity that was refractory to medical treatment is presented.


Assuntos
Criocirurgia , Hemangioma , Neoplasias Bucais , Humanos , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Neoplasias Bucais/cirurgia , Crioterapia
6.
Kyobu Geka ; 75(13): 1083-1087, 2022 Dec.
Artigo em Japonês | MEDLINE | ID: mdl-36539223

RESUMO

A 55-year-old woman was suspected of having hilar lymph node enlargement on a routine examination of the chest computed tomography( CT) scan at our hospital. On further examination, thoracic contrast CT and bronchial arteriography showed prominent dilation and meandering of the right bronchial artery with an aneurysm which formed a fistula to the pulmonary artery A7 at its distal end. Diagnosed as racemose hemangioma of bronchial artery with pulmonary artery fistula, we performed a surgical resection by open thoracotomy on the second day following bronchial artery embolization( BAE). No recurrence was observed in the five years of follow-up period after surgery. Therefore, surgical resection for asymptomatic racemose hemangioma of bronchial artery with bronchial artery-pulmonary artery fistula can be considered an effective method for the long-term prevention of bleeding.


Assuntos
Aneurisma , Embolização Terapêutica , Fístula , Hemangioma , Feminino , Humanos , Pessoa de Meia-Idade , Artérias Brônquicas/diagnóstico por imagem , Artérias Brônquicas/cirurgia , Artéria Pulmonar/diagnóstico por imagem , Artéria Pulmonar/cirurgia , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Aneurisma/terapia , Embolização Terapêutica/métodos
7.
BMC Cardiovasc Disord ; 22(1): 482, 2022 11 12.
Artigo em Inglês | MEDLINE | ID: mdl-36371149

RESUMO

BACKGROUND: Cardiac epicardium hemangiomas are exceedingly rare; however, they can cause significant hemodynamic impairment and large pericardial effusions. On rare occasion, cardiac tumors coexist with malformations of the heart. CASE PRESENTATION: We present the case of a 10-month-old female infant with a rare cardiac surface hemangioma coexisting with malformations of the heart. It revealed an atrial septal defect (ASD) coexisting with an abnormal occupying lesion with high echogenicity. It was 35*12*9 mm in size and was found in the anterior atrioventricular junction to the posterior atrioventricular junction at the bottom of the ventricular septum by transthoracic echocardiography. We performed surgical treatment of the atrial septal defect and performed biopsy with the occupying lesion. The histopathological examination reported a benign tumor as hemangioma. As far as we know, this is the first case in which cardiac surface hemangioma was found to coexist with an atrial septal defect. CONCLUSIONS: Cardiac epicardium hemangiomas is a rare solid tumor of the heart. If the mass is impossible to resect and does not cause hemodynamic impairment, only mass biopsy is possible.


Assuntos
Neoplasias Cardíacas , Comunicação Interatrial , Hemangioma , Lactente , Humanos , Feminino , Comunicação Interatrial/complicações , Comunicação Interatrial/diagnóstico por imagem , Neoplasias Cardíacas/complicações , Neoplasias Cardíacas/diagnóstico por imagem , Neoplasias Cardíacas/cirurgia , Ecocardiografia , Hemangioma/complicações , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Pericárdio/patologia
8.
Neurol India ; 70(Supplement): S314-S317, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36412388

RESUMO

We report the strategy of anesthesia and intraoperative neurophysiological monitoring (IONM) in a 29-year-old, 22 weeks pregnant patient posted for surgery for aggressive vertebral body hemangioma. We used propofol and fentanyl-based anesthesia for IONM. Motor-evoked potentials (MEP) and somatosensory-evoked potentials (SSEP) were used to monitor the neural tracts during surgery. Fetal heart rate monitoring was done preoperatively and postoperatively. Train of 8, 75 µs duration pulse, 250-500 Hz stimulus was used for MEP and 30 mA, 200-400 µs, 3-5 Hz was used for SSEP. No new motor or somatosensory deficits appeared. Our findings suggest that IONM can be safely done in pregnant women.


Assuntos
Potenciais Evocados , Hemangioma , Monitorização Neurofisiológica Intraoperatória , Complicações na Gravidez , Neoplasias da Coluna Vertebral , Adulto , Feminino , Humanos , Gravidez , Potencial Evocado Motor/fisiologia , Potenciais Somatossensoriais Evocados/fisiologia , Procedimentos Neurocirúrgicos , Estudos Retrospectivos , Coluna Vertebral/cirurgia , Complicações na Gravidez/cirurgia , Neoplasias da Coluna Vertebral/cirurgia , Hemangioma/cirurgia , Propofol/administração & dosagem , Fentanila/uso terapêutico , Cardiotocografia , Potenciais Evocados/fisiologia , Anestésicos Intravenosos/uso terapêutico
9.
Neurol India ; 70(Supplement): S331-S335, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36412392

RESUMO

The article describes a clinical case of surgical treatment of a patient with aggressive C2 vertebral hemangioma by vertebroplasty with a transoral approach.


Assuntos
Vértebras Cervicais , Hemangioma , Neoplasias da Coluna Vertebral , Vertebroplastia , Humanos , Vértebras Cervicais/cirurgia , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Boca , Neoplasias da Coluna Vertebral/diagnóstico por imagem , Neoplasias da Coluna Vertebral/cirurgia , Vertebroplastia/métodos
11.
Artigo em Inglês | MEDLINE | ID: mdl-36293852

RESUMO

Hemangiomas are the most common benign tumours affecting the spine, with an incidence of 10-12% of the general population. Although most hemangiomas are asymptomatic, there are aggressive forms which can develop symptoms, leading patients to show signs of disability. This case report aims to highlight the importance of red flags screening, and to report the physiotherapist's clinical reasoning that led him to refer his patient to other healthcare professionals. This case also illustrated the pre- and post-surgical treatment of a specific low back pain case in a patient affected by aggressive vertebral hemangioma and spinal cord compression. The patient is a 52-year-old man, who reported intense pain in his sacral region about three months prior, which worsened while in sitting position. The physiotherapist proceeded with a complete medical history investigation and clinical examination. After an impaired neurological examination, the patient was referred to another health professional, who diagnosed multiple vertebral hemangiomas in the patient's lumbosacral tract. The therapeutic intervention included the patient's post-surgical rehabilitation following a vascular embolization. This case report shows the importance of proper patient screening. Indeed, during patients' assessment, it is paramount to recognize red flags and to investigate them appropriately. An early referral of patients with conditions that require the support and expertise of other professionals can lead to a timely diagnosis and avoid costly and unnecessary rehabilitation procedures. In this case, the interdisciplinary collaboration between physiotherapist and neurosurgeon was crucial in guiding the patient towards recovery.


Assuntos
Hemangioma , Dor Lombar , Compressão da Medula Espinal , Neoplasias da Coluna Vertebral , Humanos , Masculino , Pessoa de Meia-Idade , Compressão da Medula Espinal/diagnóstico , Compressão da Medula Espinal/etiologia , Compressão da Medula Espinal/cirurgia , Neoplasias da Coluna Vertebral/complicações , Neoplasias da Coluna Vertebral/diagnóstico , Neoplasias da Coluna Vertebral/cirurgia , Dor Lombar/complicações , Hemangioma/diagnóstico , Hemangioma/cirurgia , Hemangioma/patologia , Vértebras Torácicas
12.
Dermatol Clin ; 40(4): 473-480, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36243434

RESUMO

Recommendation for the surgical approach to vascular anomalies is rapidly evolving. From an isolated approach, surgery is best seen nowadays as an adjunctive tool in multidisciplinary management. Several studies focusing on targeted therapy based on genetic findings were published, and their use in clinical practice is on the way.


Assuntos
Hemangioma , Malformações Vasculares , Hemangioma/cirurgia , Humanos , Malformações Vasculares/cirurgia
13.
Dermatol Clin ; 40(4): 481-487, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36243435

RESUMO

Lasers are a safe and effective tool for the treatment of vascular anomalies. There are many laser options available. Matching laser parameters with the characteristics of the vasculature in these lesions can selectively deliver energy to the abnormal tissue. This can lead to reduction in size and symptoms of vascular malformations and hemangiomas.


Assuntos
Hemangioma , Malformações Vasculares , Hemangioma/radioterapia , Hemangioma/cirurgia , Humanos , Malformações Vasculares/cirurgia
15.
Contrast Media Mol Imaging ; 2022: 1350826, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36105445

RESUMO

Objective: To compare the value of a hepatectomy and hemangioma stripping on patients with giant hepatic hemangiomas. Methods: Seventy-four patients with giant hepatic hemangiomas were retrospectively analyzed from data collected from their hepatobiliary surgeries performed from June 2010 to June 2015 at the People's Hospital of Ningxia and the general hospital affiliated with Ningxia Medical University. The patients were divided into a hepatectomy group (37 patients) and a hemangioma-stripping group (37 patients). Conditions of each group were compared before and after surgery and comprised of surgery duration, intraoperative blood loss, blood transfusion, duration of hepatic blood occlusion, and hospital stay. Any complications after surgery, such as pleural effusions, bile leakage, and abdominal hemorrhage, were also observed. Results: In the hemangioma-stripping group, the surgery time was 2.38 ± 0.93 h, intraoperative blood loss was 889.19 ± 756.37, blood transfusion amount was 723.78 ± 801.14, the duration of hepatic blood occlusion 26.84 ± 17.30 min, and hospital stay was 16.19 ± 5.01 d. In the hepatectomy group, surgery time was 3.26 ± 1.16 h, intraoperative blood loss was 1551.35 ± 1755.88 mL blood transfusion amount was 1693.24 ± 2117.72 mL, duration of hepatic blood occlusion was 26.84 ± 17.30 min, and hospital stay was 16.19 ± 5.01 d. The difference between the groups was statistically significant (P < 0.05). The pleural effusion incident rate in the former group was lower than that of the latter group, and the difference was statistically significant. Conclusions: Hemangiomas stripping is an effective method by which to cure hepatic hemangioma, with the advantages being a relatively easy surgery with less patient trauma, rapid recovery, and fewer complications. This method should be used more often in clinical settings.


Assuntos
Hemangioma , Neoplasias Hepáticas , Perda Sanguínea Cirúrgica , Hemangioma/cirurgia , Hepatectomia/métodos , Humanos , Neoplasias Hepáticas/cirurgia , Estudos Retrospectivos
16.
Vestn Otorinolaringol ; 87(4): 84-88, 2022.
Artigo em Russo | MEDLINE | ID: mdl-36107186

RESUMO

The describes a clinical observation of a combination of jugulotympanic paraganglioma of the left temporal bone with multifocal congenital hemangioma. The interest of the case is that such a combination of pathologies is extremely rare. A comprehensive study and surgical treatment of a patient with this clinical diagnosis was carried out. In the diagnosis, objective otorhinolaryngological studies, otomicroscopy and MSCT of the temporal bones and MRI of the middle ear with contrast were used. Surgical intervention was performed under multicomponent anesthesia with tracheal intubation, transmastoid access. The postoperative management of the patient after surgical treatment is described.


Assuntos
Tumor do Glomo Jugular , Hemangioma , Paraganglioma , Orelha Média , Hemangioma/complicações , Hemangioma/diagnóstico , Hemangioma/cirurgia , Humanos , Paraganglioma/diagnóstico , Paraganglioma/diagnóstico por imagem , Osso Temporal/patologia
17.
Hinyokika Kiyo ; 68(8): 265-269, 2022 Aug.
Artigo em Japonês | MEDLINE | ID: mdl-36071018

RESUMO

A 65-year-old man was found to have a 1.7 cm right renal mass by follow-up abdominal computed tomography for left total nephrectomy after a traffic accident. The renal mass progressed slowly to 2.2 cm in three years and enhanced magnetic resonance imaging revealed marked T2 weighting hyperintensity of the lesion. Although a radiologist (TK) suggested the diagnosis renal anastomosing hemangioma preoperatively, we could not deny the possibility of renal cell carcinoma completely. Therefore, the patient underwent robot-assisted laparoscopic partial nephrectomy. The tumor was successfully removed without any renal arterial clamping or parenchymal excision. Histopathologically, the lesion was composed of capillary-size blood vessels lined by a single layer of endothelial cells, and was diagnosed as a renal anastomosing hemangioma. There were no signs of postoperative recurrence during the 3 month follow-up.


Assuntos
Carcinoma de Células Renais , Hemangioma , Neoplasias Renais , Idoso , Carcinoma de Células Renais/diagnóstico por imagem , Carcinoma de Células Renais/cirurgia , Células Endoteliais/patologia , Hemangioma/diagnóstico por imagem , Hemangioma/cirurgia , Humanos , Neoplasias Renais/diagnóstico por imagem , Neoplasias Renais/cirurgia , Masculino , Nefrectomia/métodos
20.
Medicine (Baltimore) ; 101(33): e30113, 2022 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-35984186

RESUMO

RATIONALE: Female reproductive organ angiomas are rarely reported and are accidentally found during surgery. Angiomas arising from infundibulopelvic vessels presenting as adnexal masses are even rarer, and a few doctors have experience in their management. PATIENTS MAIN CONCERNS AND IMPORTANT CLINICAL FINDINGS: Herein, we report the case of a 40-year-old woman who was admitted after a physical examination revealed an ovarian mass. The physical examination revealed a palpable adnexal mass in the right pelvic cavity. Ultrasound showed a 4.5 × 4.0 × 5.0 cm space-occupying lesion close to the right ovary, which had many echogenic lines and calcifications in its cystic cavity. PRIMARY DIAGNOSIS: Right adnexal mass. INTERVENTIONS: Laparoscopic surgery was performed in all the patients. During the surgery, the mass was found to be a retroperitoneal hemangioma with distorted and dilated vessels. We separated the right infundibulopelvic vessels and performed tumor resection with minimal blood loss. OUTCOMES: The patient recovered well, and no abnormalities were observed during the following 2 years. Pathological results showed that this adnexal mass was a type of cavernous hemangioma arising from the infundibulopelvic vessels. LESSONS: Surgical removal of the affected tissues is an aggressive treatment of choice for cavernous hemangiomas. Laparoscopic resection of infundibulopelvic hemangioma is feasible, and gynecologists are qualified for this operation, as long as damage to the iliac vessels is avoided.


Assuntos
Doenças dos Anexos , Hemangioma Cavernoso , Hemangioma , Neoplasias de Anexos e de Apêndices Cutâneos , Doenças dos Anexos/diagnóstico , Doenças dos Anexos/cirurgia , Adulto , Feminino , Hemangioma/cirurgia , Hemangioma Cavernoso/diagnóstico por imagem , Hemangioma Cavernoso/cirurgia , Humanos , Ovário/patologia
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