Intramasseterin-infiltrating angiolipoma: a challenging diagnosis

J Craniofac Surg. 2012 Jul;23(4):e290-2. doi: 10.1097/SCS.0b013e31824e2514.


Angiolipomas are benign mesenchymal tumors infrequently affecting the head and neck region, manifesting themselves as small (<4 cm), slow-growing mass that are painful or tender to palpation. Ultrasonography, fine needle aspiration biopsy, computed tomography, and magnetic resonance imaging can be used to make a diagnosis. Surgical excision is the treatment of choice in both infiltrating and noninfiltrating forms, even if liposuction can be considered in multiple forms. We describe a case of infiltrating intramasseterin angiolipoma, in which diagnosis was suspected after magnetic resonance imaging with gadolinium; then a transoral surgical excision was performed. To the best of our knowledge, only 1 other case of intramasseterin-infiltrating angiolipoma has been previously described.

Publication types

  • Case Reports

MeSH terms

  • Angiolipoma / diagnosis*
  • Angiolipoma / surgery*
  • Cheek*
  • Contrast Media
  • Diagnosis, Differential
  • Female
  • Gadolinium
  • Humans
  • Magnetic Resonance Imaging
  • Masseter Muscle / pathology*
  • Masseter Muscle / surgery*
  • Middle Aged


  • Contrast Media
  • Gadolinium