Fibro-adipose vascular malformation (FAVA) in forearm: a successful surgical approach and literature review

We describe the criteria that we performed to diagnose the left forearm FAVA in this patient, based on the history; the magnetic resonance imaging, which demonstrated muscle replaced by heterogeneous soft tissue, intramuscular phlebolit, and dilated vessels; and histological images that showed a vascular proliferation associated with adipocytes and dense fibrous tissue replacing and infiltrating the skeletal muscle. En bloc resection of the mass was performed successfully, and it gave excellent results with recovery of limitation and improvement of pain and swelling that were maintained at 2-year follow-up. Surgery is a reliable and curative option in FAVA and could be the only one for long-term control of this entity.Level of evidence: Level V, therapeutic; diagnostic study.
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research