PMC5018340_01
Preoperative photograph showing mass in the left sided upper neck.
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A 17-year-old female presented with a left sided upper neck swelling which was insidious in onset and was painless and progressively increasing in size over the past 4 years (Figure 1).
CT scan showing the soft tissue mass in the neck (axial and coronal view).
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Computed tomography (CT) scan showed an inhomogeneous hypodense lesion lying in close approximation to left ala of thyroid cartilage (Figure 2).
Excised (surgical) specimen.
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There was minimal blood loss during the procedure and the mass was removed in toto (Figure 3).
(a) Histopathological examination (10x powers): the field shows numerous capillary-sized vessels and large dilated vessels extending between skeletal muscle fibers. (b) Histopathological examination (40x powers): skeletal muscle fiber (arrow), capillary-sized vessel (arrow head), and dilated large blood vessel (notched arrow).
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On hematoxylin and eosin staining, it showed numerous capillary-sized vessels and large dilated vessels extending between skeletal muscle fibers; thus, it was diagnosed as mixed type of intramuscular haemangioma (Figure 4).