CASE REPORT article
Front. Pediatr.
Sec. Pediatric Surgery
Volume 13 - 2025 | doi: 10.3389/fped.2025.1660856
Endoscope-assisted low-temperature plasma radiofrequency ablation of intermuscular angiolipoma in the chest: A case report
Provisionally accepted
- 1Gansu University of Chinese Medicine, Lanzhou, China
- 2The 940th Hospital of the Joint Logistics Support Force of the People's Liberation Army, Lanzhou, China
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Background: Endoscope-assisted surgery (EAS) remains largely unexplored for intermuscular angiolipomas (IA) in children. This study reports a 6-year-old girl with a right chest angiolipoma who underwent EAS via a minintermuscular angiolipomaly invasive anterior axillary fold approach. Methods: Following ultrasonographic and magnetic resonance imaging revealing a provisional diagnosis of IA, the patient underwent endoscope-assisted low-temperature plasma radiofrequency ablation (LTPRA) under general anesthesia. The procedure was performed through a single 2-cm incision at the right anterior axillary fold utilizing a 5-mm 30° endoscope and pediatric-specific fine instruments. Results: Complete resection of the angiolipoma was achieved with an operative time of 120 minutes and blood loss of 15 mL. Pathological examination confirmed angiolipoma. At 6-month follow-up, no recurrence and satisfactory wound healing have been observed. Conclusion: EAS proves a feasible and effective therapeutic option for complex anatomical-site angiolipomas due to its efficacy in complete excision and superior cosmetic outcomes. By integrating endoscopic visualization with precise plasma ablation, this technique significantly reduces neurovascular injury risks during deep intermuscular tumor dissection, offering a novel minintermuscular angiolipomaly invasive strategy for lesions in regions challenging for conventional open surgery.
Keywords: Endoscope-assisted surgery, low-temperature plasma radiofrequency ablation, intermuscular angiolipoma, Angiolipoma, Surgery
Received: 07 Jul 2025; Accepted: 15 Oct 2025.
Copyright: © 2025 Li, Zhao, Wang, Rong, Wang and Song. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Mei Song, esm109@126.com
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