In-toto Removal of an Intermuscular Myxoma of the
Harmstring Compartment of the Thigh Volume 3 - Issue 5
Herry Herman*, Ricky Wibowo, Naseh Sajadi M Budi Irawan and Darmadji Ismono
Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, Universitas Padjadjaran, Indonesia
Received: October 24, 2019; Published: October 29, 2019
*Corresponding author: Herry Herman, Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, Universitas
Padjadjaran, Hasan Sadikin General Hospital, Jl. Pasteur 38, Bandung, West Java 40161, Indonesia
Introduction: Myxoma is a rare benign soft tissue tumor derived from mesenchymal cells, composing of fibroblasts and
abundant myxoid matrix. The incidence is approximately from 0,1 to 0,13 per 100,000 populations with the heart as its main site
of involvement. Most are of intramuscular in nature, very rarely was it intermuscular Characterized by a slow progression painless
mass, the main choice of treatment is radical excision of the whole tumor.
Case presentation: We reported a case of a 23-year-old female with a right lower gluteal painless mass arising insidiously
over the course of three years. A perioperative magnetic resonance imaging revealed a well-circumscribed lobular cystic tumor
measuring 15x10x13cm in size on the posteromedial aspect of the proximal part of the right thigh. Surgical excision of the tumor
revealed its intermuscular location, with characteristic histopathology of a myxoma. Postoperative evaluation at 3 and 12 months
showed no evidence of recurrence and a return to functional daily living without obvious limitation.
Conclusion: Intermuscular myxoma of the thigh is a very rare variation of the already rare type of a benign tumor of mesenchymal
origins. Its complete in-toto removal assures a recurrence free procedure and preservation of satisfactory muscle function.
Keywords: ntermuscular Myxoma; Hamstring compartment of the thigh; surgical excision