J Korean Ophthalmol Soc.  2003 Oct;44(10):2428-2433.

Intramuscular Hemangioma of the Upper Lid

• Lee HC
• Lee SJ
• Kim YD

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.

Keyword

Intramuscular hemangioma (IMH); Periorbital region; Upper lid

MeSH Terms

Adolescent
Diagnosis
Diagnosis, Differential
Extremities
Female
Head
Hemangioma*
Humans
Neck