Intramuscular Hemangioma of the Upper Lid.

Lee, Hyeon Chul; Lee, Sun Joo; Kim, Yoon Duck

Case Report

Journal of the Korean Ophthalmological Society 2003;44(10):2428-2433.
Published online October 1, 2003.

Intramuscular Hemangioma of the Upper Lid.

Hyeon Chul Lee, Sun Joo Lee, Yoon Duck Kim

Department of Ophthalmology, Samsung Medical Center, School of Medicine Sungkyunkwan University, Seoul, Korea. ydkim@smc.samsung.co.kr

상안검에 발생한 근육속혈관종 1예

이현철 ( Lee Hyeon Cheol ) , 이선주 ( Lee Seon Ju ) , 김윤덕 ( Kim Yun Deog )

Abstract

PURPOSE
Intramuscular hemangioma (IMH) is a rare benign tumor occurring frequently on the trunk and extremities. It is uncommon in the head and neck area, especially in the lid, and is difficult to diagnose preoperatively due to its deep location. A case of IMH of the upper lid area is presented. METHODS: A 14-year-old female presented with a mass in the upper lid and brow area of the left side since 1 month of her age. The patient underwent debulking of the mass. The mass was easy to bleed, yellowish and fatty in appearance. The mass infiltrated surrounding orbicularis and frontalis muscle. RESULTS: Microscopically, the mass was composed of vessels of various size and adipose tissues that extended between individual muscle fibers. CONCLUSIONS: IMH is a rare tumor of the periorbital region, hence preoperative diagnosis is difficult. IMH must be kept in mind as the differential diagnosis in patients of young age presenting with a periorbital soft tissue mass.

Key Words: Intramuscular hemangioma (IMH);Periorbital region;Upper lid