Ann Dermatol.  2014 Feb;26(1):107-110. 10.5021/ad.2014.26.1.107.

Four Cases of Successfully Treated Chronic Expanding Soft Tissue Hematoma

• Ito T
• Nakahara T
• Takeuchi S
• Uchi H
• Takahara M
• Moroi Y
• Furue M

• KMID: 2265707
• DOI: http://doi.org/10.5021/ad.2014.26.1.107

Abstract

Chronic expanding hematoma (CEH) is a rare, slow-developing disease that occurs months to years after trauma or surgery. Most CEH in soft tissue occurs in the thigh or upper extremities and can occur with or without an inducible cause. Ninety-one cases of CEH in soft tissue have been reported previously in the Japanese and English literature but its occurrence on the sole has not been reported. Here, we report four cases of successfully treated CEH, including a case occurring on the sole, and provide a review of the literature.

Keyword

Ancient hematoma; Chronic expanding hematoma; Review; Soft tissue; Sole

MeSH Terms

Asian Continental Ancestry Group
Hematoma*
Humans
Thigh
Upper Extremity

Figure

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  Fig. 1 The lesion was a firm, skin-colored, subcutaneous tumor, adhering to the covering skin.

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  Fig. 2 T1-weighted magnetic resonance imaging scan demonstrated a well-circumscribed cystic mass on the sole.

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  Fig. 3 A fibrotic capsule, inflammatory cellular infiltration, and organized blood were observed (H&E, ×40).

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  Fig. 4 The capsule consisted of hyalinized fibrous tissue with new capillaries and inflammatory cells (H&E, ×100).

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  Fig. 5 T2-weighted magnetic resonance imaging scan demonstrated a subcutaneous 4×4×5 cm cystic mass.

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  Fig. 6 Intraoperative appearance is shown. The mass was partly adherent to fascia.

Reference

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