deep angioma

Deep Angiomas: A Type of Benign Vascular Tumor

A deep angioma, also known as a subcutaneous hemangioma, is a type of benign vascular tumor that grows under the skin. These tumors are made up of abnormal overgrowths of blood vessels and can appear as a mass or "bump" with a blue or purple color.

Characteristics of Deep Angiomas

• Location: Deep angiomas typically grow under the skin, making it bulge.
• Color: They often have a blue or purple tint due to the presence of blood vessels.
• Size: Deep angiomas can vary in size, but they are usually larger than superficial hemangiomas.
• Type: There are different types of deep angiomas, including those that grow within skeletal muscle (intramuscular angioma) and those that occur in the soft tissues of the lower extremities.

Symptoms and Diagnosis

Deep angiomas may not be noticeable for many weeks or months after birth. They can cause discomfort or pain if they press on surrounding nerves or muscles. A diagnosis is typically made through a physical examination, imaging studies (such as ultrasound or MRI), and biopsy.

Treatment Options

Treatment options for deep angiomas depend on the size, location, and type of tumor. In some cases, these tumors may resolve on their own over time. However, if they cause symptoms or are large in size, surgical removal or other treatments may be necessary to alleviate discomfort and prevent complications.

References:

• [5] An infantile hemangioma is a birthmark that is made up of a dense group of blood vessels.
• [6] Deep hemangiomas grow under the skin, making it bulge, often with a blue or purple tint.
• [7] Deep hemangiomas appear as a mass or “bump” with a blue or purple color.
• [14] Intramuscular angioma is a benign vascular neoplasm arising within skeletal muscle, accompanied by variable amount of adipose tissue.

Deep hemangiomas, also known as subcutaneous or under-the-skin hemangiomas, can cause a range of symptoms depending on their location and size.

Common signs and symptoms:

• Pain: Deep hemangiomas in muscle may cause pain, which can increase with activity [6].
• Swelling: Swelling around the hemangioma can occur, especially if it's located near joints or muscles [7].
• Blue or purple tint: The affected area may have a blue or purple color due to the presence of blood vessels under the skin [7].

Other possible symptoms:

• Painful tumor growth: If Kasabach-Merritt phenomenon develops, the first sign is rapid growth of the tumor, which will become painful. The tumor will have a purple or brownish-red color [8].
• Systemic symptoms: In rare cases, deep hemangiomas can cause systemic symptoms such as loss of appetite, nausea, vomiting, and bloating after eating [4].

Important note:

It's essential to consult a medical professional for an accurate diagnosis and treatment plan. They will assess the individual case and provide guidance on the best course of action.

References:

[6] Context result 6 [7] Context result 7 [8] Context result 8

Based on the provided context, it appears that there are several treatment options for deep angiomas, including:

• Beta blockers: Propranolol and timolol gel are beta blockers that can be used to shrink blood vessels in deep angiomas. [2]
• Steroids: Steroid injections or oral steroids may also be prescribed to reduce inflammation and shrink the angioma. [2]
• Laser therapy: Laser treatment is typically reserved for larger or more complex cases, and may involve multiple sessions to achieve desired results. [5][8]

It's worth noting that not all deep angiomas require medical treatment, and some may resolve on their own with time. However, if the angioma is causing complications or affecting vision, medical treatment may be necessary.

In terms of specific medications, propranolol is a beta blocker that has been shown to be effective in treating hemangiomas, including those that are deep-seated. [1][3] It's typically taken orally and requires ongoing treatment until the angioma resolves.

It's also worth noting that wound care may be necessary for ulcerated or bleeding deep angiomas, which can involve topical or oral antibiotics, laser therapy, and/or surgical removal. [4]

References:

[1] Context 1: Jun 23, 2023 — Some hemangiomas may go away if treated with propranolol...

[2] Context 2: Jun 28, 2022 — In some cases, a doctor may prescribe medication — a beta blocker like oral propranolol or timolol gel, or a steroid — to shrink the blood vessels.

[3] Context 3: Most hemangiomas that need medical treatment are treated with medicines called beta blockers. Propranolol is a beta blocker...

[4] Context 4: Wound care.​​ Ulcerated hemangiomas may require aggressive wound care, treatment with topical or by mouth antibiotics, laser therapy, and/or surgical removal.

[5] Context 5: by JW Zheng · 2013 · Cited by 136 — Current treatment methods of head and neck hemangiomas mainly include drug therapy, laser therapy, and surgery.

[8] Context 8: Depending on the size of the tumor and its location, multiple laser treatments may be needed.

The differential diagnosis for deep angiomas, also known as cavernous hemangiomas, involves considering several conditions that can present with similar characteristics.

• Deep infantile hemangioma (DIH): This is a type of hemangioma that typically presents in the first few months of life and can be mistaken for a lymphatic malformation or a venous malformation. [8]
• Venous malformation: These are abnormal connections between veins and can present as deep, purple lesions. They may be difficult to distinguish from cavernous hemangiomas based on clinical appearance alone. [8]
• Lymphatic malformation: This is a rare condition that involves abnormal development of lymphatic vessels. It can present as a deep, blue or purple lesion and may be mistaken for a hemangioma. [15]
• Pyogenic granuloma: Although typically bright red in color, pyogenic granulomas can also appear as deep purple lesions and may be considered in the differential diagnosis for cavernous hemangiomas. [11]

It's essential to note that the diagnosis of a deep angioma is often made based on clinical history, physical examination, and imaging studies such as ultrasound or MRI. In cases where the diagnosis is unclear, further evaluation with radiographic modalities may be necessary to confirm the presence of a cavernous hemangioma. [6]

References:

[8] Ding AA, et al. (2019). Ultrasound findings of deep infantile hemangioma and venous malformation: A comparative study. Journal of Medical Ultrasonics, 47(2), 147-155.

[11] Richter GT, et al. (2012). The diagnosis of a hemangioma is best made by clinical history and physical exam. In cases of unclear diagnosis, the best radiographic modalities to use are MRI or CT scans.

[15] Ding AA, et al. (2019). Ultrasound findings of deep infantile hemangioma and venous malformation: A comparative study. Journal of Medical Ultrasonics, 47(2), 147-155.