Soft tissue haemangioma: leg

Case contributed by Dr Shailaja Muniraju

Presentation

Swelling over left calf since 2 years. No pain.

Patient Data

Age: 24 years
Gender: Female
Modality: Ultrasound

There is well circumscribed hypoechoic lesion noted in the deep subcutaneous plane. Internal vascularity also seen.

Modality: MRI

MR subcutaneous marker is seen at the lower third of the lateral leg.

There is a well-defined, lobulated cystic focus noted in the deep subcutaneous plane, of lateral lower 3rd leg.  It shows few hypointense foci and septae within. There is a superficial blood vessel(likely venous)  noted to course along the superomedial margin of the lesion. Post contrast images shows intense enhancement.  

Adjacent moderate subcutaneous oedema was seen.

No breach into the underlying muscular plane.

Special thanks: Dr Nanda Kumar.

Case Discussion

This is a case of deep subcutaneous plane soft tissue venous hemangioma.

The primary role of the radiologist is to rule out other possibilities of vascular tumours or sarcomas, to avoid uncalled biopsy or surgical intervention.

Usually, soft tissue hemangiomas are not invasive in appearance. However, in deep-seated hemangiomas, the possibilities of bone changes such as cortical thickening, trabecular hypertrophy or medullary sclerosis should be sought for.

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Case Information

rID: 49385
Case created: 22nd Nov 2016
Last edited: 25th Nov 2016
Inclusion in quiz mode: Included

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