Intravascular Papillary Endothelial Hyperplasia of the Orbit: A Case of Masson’s Tumor

Dryden, Stephen C; Marsili, Shane; Meador, Andrew G; Randall, M. Barry; Fowler, Brian

doi:10.7759/cureus.6266

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…As IPEH does not advance to a malignant neoplasm and is not reported to recur after diligent surgical excision, the preferred treatment, with a favorable prognosis, is surgical excision [1,13]. The case that we are presenting here was treated with total surgical excision and there was no recurrence after six months of follow-up.…”

Section: Discussionmentioning

confidence: 83%

Intravascular Papillary Endothelial Hyperplasia Involving the Hand: A Case Report of a Rare Entity

Albazali,

Mosbeh,

Manchanda

et al. 2023

Cureus

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Masson's tumor, also named intravascular papillary endothelial hyperplasia (IPEH), is a rare, benign vascular tumor. Evaluation by clinical features can be confused with other soft tissue tumors. Therefore, the diagnosis should be confirmed by histopathological examination.The patient reported here is 67 years old and came to us with a small painful lesion over the left thumb of about two months duration. Histopathological examination was consistent with Masson's tumor (IPEH) following excisional biopsy, with good functional outcomes.To the best of our knowledge, this is the first report of this entity from Kuwait. Dermatologists and surgeons should know about this rare entity and its unusual presentation, to be able to distinguish it from similar presenting serious conditions, especially angiosarcoma. Through this report, we purport to facilitate recognition of this condition apart from some other conditions it may mimic.

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Section: Discussionmentioning

confidence: 83%

Intravascular Papillary Endothelial Hyperplasia Involving the Hand: A Case Report of a Rare Entity

Albazali,

Mosbeh,

Manchanda

et al. 2023

Cureus

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“…The first orbital case of IPEH was reported by Weber and Babel in 1981 6 . Since then, our literature review revealed a total of 24 cases in periocular soft tissues 7–13 . Among these, only 11 were located deep within the orbit and 3 of those were reported during the past year 8,11,12 .…”

Section: Discussionmentioning

confidence: 90%

“…Since then, our literature review revealed a total of 24 cases in periocular soft tissues 7–13 . Among these, only 11 were located deep within the orbit and 3 of those were reported during the past year 8,11,12 . The onset of proptosis can be acute or gradual 4 .…”

Section: Discussionmentioning

confidence: 99%

Intravascular Papillary Endothelial Hyperplasia as a Cause of Reversible Vision Loss

Liu

Daigle²,

Muñoz

et al. 2020

Journal of Craniofacial Surgery

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glenoid fossa, was consistent with that of Shi et al, 12 who revealed that children with sustained serious displacement or dislocation out of the temporomandibular joint fossa are more prone to treatment by ORIF. In rare cases, open reduction could also be carried out when children need treatment under general anesthesia and their parents strongly urge surgical treatment of the condylar fractures.However, carrying out rigid internal fixation is difficult for children with extracapsular condylar fractures because the children's physiological structure of cortical bone of condyle differs from those of adolescents or adult patients. The thinner cortical bone of condyle in child cannot effectively tighten the screws. 12,16 Designing the specialized fixing material may be needed for an effective treatment. Additional research is needed to verify our proposal. Analyzing the stress distribution among the fracture fragments pre/postoperative treatment is meaningful and helpful for further verification.Children that sustained extracapsular condylar fractures were highly associated with other fractures of the mandible (symphysis or body of mandible). 8 Fracture of other sites of the mandible widens the mandibular arch, leading to the abduction of condylar process (The lateral pole of the condyle or ramus stump displaced superolaterally). 13,17 Therefore, automatically reducing the condylar fragment is difficult to achieve when the mandibular width is not controlled efficiently. However, regulating the mandibular width in children is difficult under current conditions. 17 Absorbable plates are usually recommended for children due to their less risk of growth impairment. 18 However, a child fractured condyle treated with absorbable miniplate showed serious growth restriction and was followed up for approximately 4 years. Other children were followed up no more than 1 year. Therefore, followup of extracapsular condylar fractures in children should be continued until the end of growth period.We acknowledge the shortcomings in present study. The angulations were simply recorded at 158 intervals in the methods section (ie, 58, 158, 308, 458, 608, 758, 908, and À158). However, whether the same vantage point was maintained when recording separate images was unclear. CT scans are notoriously prone to patient positioning effects, which could skew the results of the study depending on how the measurements were taken. Nonetheless, in this study, the CT measurement of angulations in back view (Fig. 1) was relatively stable and accurate.On the basis of our experience, conservative treatment is a difficult procedure in restoring the height of the ramus in children with extracapsular condylar fractures. Anatomically or totally restoring the ramus height is difficult even with the surgical treatment of ORIF; however, surgical treatment of ORIF can substantially restore the ramus height for dislocated fractures or seriously displaced fractures. Additional research is needed to fully explain this phenomenon.

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“…Masson's tumor (MT), also known as intravascular papillary endothelial hyperplasia (IPEH) or Masson's hemangioma, is a rare benign vascular disease with an exuberant endothelial proliferation in blood vessels that usually affects the extremities including head, neck and upper limbs. 1,2 It is most frequent in the digits and in rare circumstances, lesions have been observed in the abdominal organs or in intracranial aneurysms. 3 The lesion can arise from normal blood vessels, and in this case it is referred to as a "pure form", or in a preexisting vascular lesion, the so-called "mixed form".…”

Section: Introductionmentioning

confidence: 99%

CT and MRI Findings of Head and Neck Masson’s Tumor: A Rare Case Report and Systematic Review of the Literature

Giannitto¹,

Mercante²,

Spriano³

et al. 2021

RMI

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Background: Masson's tumor (MT) is a rare benign vascular disease. In literature, detailed description of its radiological findings is not available and functional imaging such as diffusion weighted (DW)-MRI has never been described. We aim to summarize the CT and MRI findings in our representative case and to conduct a systematic review of the literature. Case Presentation: We reported a 54-year-old ex-smoker male patient who presented with a nodular mass to the left cheek. He denied any previous trauma. CT examination performed on initial presentation revealed a well circumscribed solid oval mass with soft tissue density, a calcified focus and no significative contrast enhancement after contrast administration. MRI showed a well circumscribed solid oval mass, with intermediate T2 signal intensity with areas of high T2 signal intensity and the presence of peripheral high-flow serpentine vessels, low T1 signal intensity. The mass showed a non-enhancing area with enhancing vessels after intravenous contrast administration. We surveyed CT and MRI findings of head and neck MT of English and French language papers, published from 1981 to 2019, together with our representative case. We included articles with a description of CT and/or MRI findings of head and neck MT. Conclusion:We have experienced one case and have evaluated imaging findings through systematic review. Only 36 articles were eligible. CT and MRI findings were reported in 27 and 23 articles, respectively. To date, no diffusion weighted imaging (DWI)-MRI findings have been described. The most frequent findings in CT were a well-defined mass with high or soft tissue density. The most frequent MRI findings were a non-homogeneous signal intensity in T1 and T2 weighted sequences, with foci of hyperintensity, multiple septations or flow voids. After contrast administration, the enhancement could be homogeneous, non-homogeneous, nodular or peripheral. In our case, we found a non-homogeneous hyperintensity in DWI-MRI with an area of restricted diffusion and low apparent diffusion coefficient (ADC) was observed (0.963 × 10 −3 mm 2 /s +\-0.12 SD). The imaging characteristics cannot provide a pre-operative identikit of MT and surgical removal is necessary to accurately differentiate it from malignant angiosarcoma but radiological evaluation is useful in surgical planning.

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Intravascular Papillary Endothelial Hyperplasia of the Orbit: A Case of Masson’s Tumor

Cited by 6 publications

References 6 publications

Intravascular Papillary Endothelial Hyperplasia Involving the Hand: A Case Report of a Rare Entity

Intravascular Papillary Endothelial Hyperplasia Involving the Hand: A Case Report of a Rare Entity

Intravascular Papillary Endothelial Hyperplasia as a Cause of Reversible Vision Loss

CT and MRI Findings of Head and Neck Masson’s Tumor: A Rare Case Report and Systematic Review of the Literature

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