Intramasseterin-infiltrating angiolipoma: a challenging diagnosis

• Published in: The Journal of craniofacial surgery Vol. 23; no. 4; pp. e290 - e292
• Main Authors: Cassoni, Andrea, Romano, Andrea, Terenzi, Valentina, Bartoli, Davina, Buonaccorsi, Sara, Valentini, Valentino
• Format: Journal Article
• Language: English
• Published: United States 01-07-2012
• Subjects: Angiolipoma - diagnosis; Angiolipoma - surgery; Cheek; Contrast Media; Dentistry; Diagnosis, Differential; Female; Gadolinium; Humans; Magnetic Resonance Imaging; Masseter Muscle - pathology; Masseter Muscle - surgery; Middle Aged
• ISSN: 1049-2275; 1536-3732
• DOI: 10.1097/SCS.0b013e31824e2514

Angiolipomas are benign mesenchymal tumors infrequently affecting the head and neck region, manifesting themselves as small (<4 cm), slow-growing mass that are painful or tender to palpation. Ultrasonography, fine needle aspiration biopsy, computed tomography, and magnetic resonance imaging can be used to make a diagnosis. Surgical excision is the treatment of choice in both infiltrating and noninfiltrating forms, even if liposuction can be considered in multiple forms. We describe a case of infiltrating intramasseterin angiolipoma, in which diagnosis was suspected after magnetic resonance imaging with gadolinium; then a transoral surgical excision was performed. To the best of our knowledge, only 1 other case of intramasseterin-infiltrating angiolipoma has been previously described.