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Cavernous Hemangioma of the Pectoralis Major Muscle Mimicking a Breast Tumor: A Case Report

疑似乳房腫瘤之胸大肌內血管瘤:一病例報告

摘要


胸大肌內血管瘤十分罕見,文獻上最近十年僅有一病例報告。肌內血管瘤一般認為病因是先天性的,也有些病人可能有外傷病史。肌內血管瘤一般好發於三十歲前的年輕人,男女罹病比例相似。此篇報告一位二十三歲男性因左乳房腫大來院求診,經由理學、左乳房超音波及胸部電腦斷層檢查顯示是左胸壁肌肉腫瘤,最後由病理切片檢查確定是胸大肌內血管瘤。肌肉內血管瘤術前診斷不易,本病例腫瘤內有多處鈣化此為一診斷線索,可進一步安排核磁共振檢查鑑別。治療方法以腫瘤全部切除的復發率最低。

並列摘要


Hemangiomas of the pectoralis major muscle are rare. We present a 23-year-old man who had an enlarged and lobulated lesion in left-sided breast and led to a cosmetic problem. The ultrasound of the breast and computed tomography of the chest showed a soft tissue tumor with multiple spotted calcifications of left-sided anterior chest wall. The correct diagnosis of cavernous hemangioma of the pectoralis major muscle was established by incisional biopsy and subsequent pathologic interpretation. Although intramuscular hemangiomas are rare, they should be included in the differential diagnosis of chest wall tumors. The treatment of choice for intramuscular hemangiomas is complete surgical excision.

並列關鍵字

hemangioma pectoralis major muscle

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