Biopsy is not necessary for the diagnosis of soft tissue hemangiomas View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-02-23

AUTHORS

Eugenio Rimondi, Andreas F. Mavrogenis, Costantino Errani, Teresa Calabrò, Alberto Bazzocchi, Giancarlo Facchini, Salvatore Donatiello, Paolo Spinnato, Daniel Vanel, Ugo Albisinni, Patrizia Pelotti

ABSTRACT

ObjectiveTo describe the clinical and ultrasonography (US) findings of soft tissue hemangiomas, and to compare with the results of histologic diagnosis after US-guided biopsy.Method and materialsWe retrospectively studied the files of 97 patients (48 female, 49 male; mean age, 34 years; range 4–84 years) with soft tissue hemangiomas diagnosed from 2004 to 2011. Mean follow-up was 9 years (range 7–13 years). Clinical presentation included intermittent mild pain associated with a soft tissue swelling/palpable mass in all patients, chronic pain and increased local heat in 29 patients, local swelling and decreased range of motion of the adjacent joint in 45 patients, and all the above symptoms in 23 patients. B-mode and color Doppler US evaluation included the site, location, size, shape, margins, presence of calcifications, echo structure and echogenicity. All patients had US-guided biopsy for histologic analysis.ResultsUS-guided biopsy and histology confirmed the diagnosis of soft tissue hemangioma in 92 of the 97 lesions (94.8%). Histologic examination of the remaining five lesions showed nodular fasciitis (two lesions), endometriosis (one lesion), hemangioendothelioma (two lesions); US of these lesions showed variable size, irregular margins, and deep-seated location. Histologically documented soft tissue hemangiomas were most commonly superficial (74 lesions) and arteriovenous (45 lesions). Shape was most commonly oval (fusiform), margins were most commonly not well defined (irregular, hazing but circumscribed), phleboliths were more common in deep-seated lesions, echo structure was heterogeneous, and echogenicity was most commonly hyperechogen and involuting.ConclusionClinical presentation and typical B-mode and color Doppler US findings are adequate for the diagnosis of soft tissue hemangiomas without the need for biopsy and histologic analysis. If any clinical or US doubt, an US-guided biopsy should be performed. More... »

PAGES

538-544

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11547-018-0862-y

DOI

http://dx.doi.org/10.1007/s11547-018-0862-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1101174775

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29476440


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31 schema:description ObjectiveTo describe the clinical and ultrasonography (US) findings of soft tissue hemangiomas, and to compare with the results of histologic diagnosis after US-guided biopsy.Method and materialsWe retrospectively studied the files of 97 patients (48 female, 49 male; mean age, 34 years; range 4–84 years) with soft tissue hemangiomas diagnosed from 2004 to 2011. Mean follow-up was 9 years (range 7–13 years). Clinical presentation included intermittent mild pain associated with a soft tissue swelling/palpable mass in all patients, chronic pain and increased local heat in 29 patients, local swelling and decreased range of motion of the adjacent joint in 45 patients, and all the above symptoms in 23 patients. B-mode and color Doppler US evaluation included the site, location, size, shape, margins, presence of calcifications, echo structure and echogenicity. All patients had US-guided biopsy for histologic analysis.ResultsUS-guided biopsy and histology confirmed the diagnosis of soft tissue hemangioma in 92 of the 97 lesions (94.8%). Histologic examination of the remaining five lesions showed nodular fasciitis (two lesions), endometriosis (one lesion), hemangioendothelioma (two lesions); US of these lesions showed variable size, irregular margins, and deep-seated location. Histologically documented soft tissue hemangiomas were most commonly superficial (74 lesions) and arteriovenous (45 lesions). Shape was most commonly oval (fusiform), margins were most commonly not well defined (irregular, hazing but circumscribed), phleboliths were more common in deep-seated lesions, echo structure was heterogeneous, and echogenicity was most commonly hyperechogen and involuting.ConclusionClinical presentation and typical B-mode and color Doppler US findings are adequate for the diagnosis of soft tissue hemangiomas without the need for biopsy and histologic analysis. If any clinical or US doubt, an US-guided biopsy should be performed.
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38 schema:keywords ConclusionClinical presentation
39 Doppler US evaluation
40 Doppler US findings
41 ObjectiveTo
42 US doubt
43 US evaluation
44 US findings
45 above symptoms
46 adjacent joints
47 analysis
48 biopsy
49 calcification
50 chronic pain
51 clinical presentation
52 color Doppler US evaluation
53 color Doppler US findings
54 diagnosis
55 doubt
56 echo structure
57 echogenicity
58 endometriosis
59 evaluation
60 examination
61 fasciitis
62 files
63 findings
64 heat
65 hemangioendothelioma
66 hemangioma
67 histologic analysis
68 histologic diagnosis
69 histologic examination
70 histology
71 hyperechogen
72 intermittent mild pain
73 involuting
74 irregular margins
75 joints
76 lesions
77 local heat
78 local swelling
79 location
80 margin
81 mass
82 materialsWe
83 method
84 mild pain
85 mode
86 motion
87 need
88 nodular fasciitis
89 pain
90 palpable mass
91 patients
92 phleboliths
93 presence
94 presence of calcification
95 presentation
96 range
97 range of motion
98 results
99 shape
100 sites
101 size
102 soft tissue
103 soft tissue hemangiomas
104 structure
105 swelling
106 symptoms
107 tissue
108 tissue hemangiomas
109 ultrasonography findings
110 uses
111 variable size
112 years
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