Soft tissue sarcomas or intramuscular haematomas?
Haematomas are common and sarcomas are rare. However the absence of trauma or a light trauma should alert the clinician to the possibility that the abnormality may represent haemorrhage into a tumor and not just haematoma, even in a haemophilic patient. Clinical findings, sonography with Doppler assessment and magnetic resonance images with contrast administration will help in the differential diagnosis. The diagnosis of a high grade sarcoma must be considered in these patients and any doubt should be resolved with a biopsy to avoid tragic consequences of missed sarcoma.
Taïeb
Sophie
S
Department of Radiology, Centre Oscar Lambret, 03, rue Frédéric Combemale, BP 307, 59020 Lille Cedex, France. s-taieb@o-lambret.fr
Penel
Nicolas
N
Vanseymortier
Luc
L
Ceugnart
Luc
L
D003937:Diagnosis, Differential; D003952:Diagnostic Imaging / Q000379:methods*; D006406:Hematoma / Q000175:diagnosis*; D006801:Humans; D009135:Muscular Diseases / Q000175:diagnosis*; D012983:Soft Tissue Neoplasms / Q000175:diagnosis*