title: Intramuscular cavernous hemangioma arising from the masseter muscle.
abstract: BACKGROUND
  Only 10% of intramuscular hemangiomas (IMH) are located in the head and neck region. There are very few reports of masseteric location. The present study of a case of intra-masseteric cavernous hemangioma discusses clinical presentation, paraclinical diagnostic workup and treatment options.
  
  
  METHODS
  A 70-year-old male patient consulted for a swelling of 2 years' evolution, anterior to the left parotid gland. The swelling was firm, painless, well-contoured, oblong, 3 cm on its long axis, and located in the masseter muscle. There was no effect of head position on tumor volume. MRI showed a vascular tumor. Surgical resection was performed via parotidectomy. There were no postoperative complications. Pathological examination confirmed the diagnosis of cavernous hemangioma.
  
  
  CONCLUSIONS
  Head and neck IMH is commonly located in the masseter muscle. Evolution is slow. Size is variable, contours are well defined and the surface is smooth. MRI is essential ahead of treatment, which is surgical on an external or intra-oral approach.
authors.affiliation: Pôle TCCR, clinique universitaire d'ORL, CHU de Grenoble, 1, avenue des Maquis du Grésivaudan, 38043, Grenoble cedex 09, France; Faculté de médecine, université Joseph-Fourier, Grenoble I, 363, rue de la Chimie-Domaine de la Merci, 38706 La Tronche cedex, France; Inserm-UJF U823, institut Albert-Bonniot, UJF Site Santé, BP 170, La Tronche, 38042 Grenoble cedex 9, France. Electronic address: CRighini@chu-grenoble.fr.
authors.forename: C A
authors.initials: CA
authors.lastname: Righini
authors.affiliation: Pôle TCCR, clinique universitaire d'ORL, CHU de Grenoble, 1, avenue des Maquis du Grésivaudan, 38043, Grenoble cedex 09, France.
authors.forename: E
authors.initials: E
authors.lastname: Berta
authors.affiliation: Pôle TCCR, clinique universitaire d'ORL, CHU de Grenoble, 1, avenue des Maquis du Grésivaudan, 38043, Grenoble cedex 09, France; Faculté de médecine, université Joseph-Fourier, Grenoble I, 363, rue de la Chimie-Domaine de la Merci, 38706 La Tronche cedex, France; Inserm-UJF U823, institut Albert-Bonniot, UJF Site Santé, BP 170, La Tronche, 38042 Grenoble cedex 9, France.
authors.forename: I
authors.initials: I
authors.lastname: Atallah
mesh_terms: D000368:Aged; D006392:Hemangioma, Cavernous / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D008406:Masseter Muscle; D019042:Muscle Neoplasms / Q000175:diagnosis / Q000601:surgery
keywords: Diagnosis; Intramuscular hemangioma; Masseter muscle; Treatment