Presentation
Left cheek swelling since childhood.
Patient Data
Age: 10 years
Gender: Female
From the case:
Soft tissue hemangioma - face
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There is evidence of a soft tissue density poorly enhancing mass lesion with phleboliths in the left cheek subcutaneous topography measuring 2.5 x 1.8 x 2.7 cm. No fat content lesion to suggest lipoma. No purely cystic nature to suggest cyst.
No extension to the underlying muscles or oral cavity is seen.
Case Discussion
The features are suggestive of subcutaneous congenital hemangioma.
Infantile hemangiomas show avid post contrast enhancement and do not have phleboliths, while congenital hemangiomas show poor enhancement and do have phleboliths (as in current case).
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