Coloma J, García E, Rodríguez A

Language: Spanish
References: 10
Page: 244-247
PDF size: 209.42 Kb.

ABSTRACT

Intramuscular myxoma is a rare soft tissue benign tumor, arising from the mesenchyma; it presents as a slow-growing painless mass located usually in the thigh. Histologic diagnosis is necessary before resection and treatment consists of exeresis. There are no cases of malignization and recurrence results from incomplete resection. We report herein three cases of intramuscular myxoma treated at our center from 2004 to 2011. At the same time, we conducted a review of the clinical presentation, diagnosis, treatment and functional results. The same diagnostic and therapeutic protocol was used in all cases. It began with the patient’s physical exam, and ultrasound and MRI as complementary tests. An incisional biopsy of the tumor was taken for anatomopathological studies and, finally, complete exeresis was performed.

REFERENCES

1. Hernán Prado MA, Llopis Miró R, Arribas Leal IM, Vargas J, Jareño Dorrego E: Intramuscular myxoma: Differential diagnosis and review of literature. Orthopedics. 2002; 25(11): 1297.

2. Nielsen GP, O’Connell JX, Rosenberg AE: Intramuscular myxoma: a clinicopathologic study of 51 cases with emphasis on hypercellular and hypervascular variants. Am J Surg Pathol. 1998; 22(10): 1222-7.

3. Murphey MD, McRae GA, Fanburg-Smith JC, Temple HT, Levine AM, Aboufalia AJ: Imaging of Soft-Tissue Myxoma with Emphasis on CT and MR and comparison of radiologic and pathologic findings. Radiology. 2002; 225: 215-24.

4. Falavigna A, Righesso O, Volquind D, Teles AR: Intramuscular myxoma of the cervical paraspinal muscle. Eur Spine J. 2009; 18(2): 245-9.

5. Crankson SJ, Al Namsan M, Al Mane K, Bamefleh H: Intramuscular myxoma: a rare neck mass in a child. Pediatr Radiol. 2002; 32(2): 120-2.

6. Abu Hassan FO, Shomaf M: Intramuscular myxoma of the hypothenar muscles. Strategies Trauma Limb Reconstr. 2009; 4(2): 103-106.

7. Allen PW: Myxoma is not a single entity: a review of the concept of myxoma. Ann Diagn Pathol. 2000; 4 (2): 99-123.

8. Weiss SW, Goldblum JR: Enzinger and Weiss’s soft tissue tumors. En: Strauss M, editor: Benign soft tissue tumors and seudotumors of the myscellaneous type. USA: Mosby, Inc; 2001: 1425.

9. Ozawa H, Fukii M, Tomita T, Ogawa K. Intramuscular myxoma of scalene muscle: a case report. Auris Nasus Larynx. 2004; 31(3): 319-22.

10. Fujii K, Inoue M, Araki Y, Ishida O: Multiple intramuscular myxomas associated with polyostotic fibrous dysplasia. Case report. Europ J Radiol. 1996; 22(2): 152-4.