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

DOI: 10.32474/LOJMS.2019.03.000175

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Abstract

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

Abstract| Introduction| Case Presentation| Discussion| References|