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Cavernous Hemangioma of striated muscle
from: A Review of the literature and report of four cases by Kenneth G. Jones, M.D., Little Rock, ArkansasHemangiomata are not rare tumors, they are found in almost all the vascular structures of the body. Vutaneous nevus vinosis, or port-wine stains which blanch on compression, and their antithesis, the capillary form, which responds poorly to pressure, are the most common members of this large pathological family. Nevertheless, hemangiomata of the special organs have been shown by routine postmortem examination to occur more often than has been suspected, but, because of their deep-seated location, they are not so frequently seen by the physicians. Even though they attain considerable size, these tumors have, in many instances, remained asymptomatic and undetected by their hosts.
liston in 1843 described an erectile tumor of the popliteal space, recording the first case history of cavernous hemangioma of muscle. Sixty-five years later, in 1908, Davis was able to compile 147 case histories of the lesion, to which he added six of his own cases. In 1930, with Kitlowski, he again studied the literature to enlarge this total to 256 cases. Shalllow, Eger, and Wagner in 1944 toughly reviewed the subject to collect 335 cases.
Case I
A seven years old girl was admitted to The Arkansas Children's Home and Hospital on July 18, 1950. She complained of pain within an area of swelling located in the upper half of the anteromedial aspect of the left forearm. Pain had been present for two weeks prior admissin. The swelling had not been observed until after the onset of pain.
The patient's systematic history failed to disclose significant past or familial illness. There was no history of associated trauma or of recent febrile reaction.
Physical examination reveal a normal, well develop girl who did appear to be acutely ill.
Miscroscopic examinatin demonstrated numerous endothelium-lined spaces which ranged from capillary to cavernous in sixe. Most of these sinusoidal spaces contained red blood cells. The stroma consisted of a loose to dense fibrous tissue. Blood vessels with thickened fibrotic walls and muscle fibers, most of which had undergone early degenerative changes with loss of nuclear structure, were evident throughout the lesion, as well as numerous collections of perivascular lymphocytes. There was no evidence of malignancy. The diagnosis was cavernous hemangioma of the left flexor digitorum profundus.
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