{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:43:20Z","timestamp":1761896600022,"version":"build-2065373602"},"reference-count":13,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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\u2005cm incision at the right anterior axillary fold utilizing a 5\u2005mm 30\u00b0 endoscope and pediatric-specific fine instruments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Complete resection of the angiolipoma was achieved with an operative time of 120\u2005min and blood loss of 15\u2005ml. Pathological examination confirmed angiolipoma. At 6-month follow-up, no recurrence and satisfactory wound healing have been observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2025.1660856","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T06:23:23Z","timestamp":1761891803000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscope-assisted low-temperature plasma radiofrequency ablation of intermuscular angiolipoma in the chest: a case report"],"prefix":"10.3389","volume":"13","author":[{"given":"Yaoyao","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Rong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianing","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mei","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"924","DOI":"10.1001\/archderm.1960.01580060078011","article-title":"Angiolipoma","volume":"82","author":"Howard","year":"1960","journal-title":"Arch Dermatol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1111","DOI":"10.2106\/00004623-196648060-00009","article-title":"Infiltrating angiolipoma","volume":"48","author":"Gonzalez-Crussi","year":"1966","journal-title":"J Bone Joint Surg Am"},{"key":"B3","doi-asserted-by":"publisher","first-page":"847","DOI":"10.1097\/00004728-198208000-00042","article-title":"Infiltrative angiolipoma of the thoracoabdominal wall","volume":"6","author":"Biondetti","year":"1982","journal-title":"J Comput Assist Tomogr"},{"key":"B4","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1186\/s40792-022-01384-y","article-title":"Angiolipoma of the chest wall: a case report","volume":"8","author":"Omori","year":"2022","journal-title":"Surg Case Rep"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e79629","DOI":"10.7759\/cureus.79629","article-title":"Surgical treatment of a giant thoracic lipoblastoma in a one-year-old: a case report","volume":"17","author":"Hilendarova","year":"2025","journal-title":"Cureus"},{"key":"B6","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1051\/sicotj\/2017015","article-title":"Imaging review of lipomatous musculoskeletal lesions","volume":"3","author":"Burt","year":"2017","journal-title":"SICOT J"},{"key":"B7","doi-asserted-by":"publisher","first-page":"753","DOI":"10.1148\/rg.2016150133","article-title":"Spectrum of fat-containing soft-tissue masses at MR imaging: the common, the uncommon, the characteristic, and the sometimes confusing","volume":"36","author":"Gupta","year":"2016","journal-title":"Radiographics"},{"key":"B8","doi-asserted-by":"publisher","first-page":"448","DOI":"10.1177\/1941738112470910","article-title":"Intramuscular hemangiomas","volume":"5","author":"Wierzbicki","year":"","journal-title":"Sports Health"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1297831","DOI":"10.3389\/fped.2024.1297831","article-title":"A novel and efficient surgical procedure for pyriform sinus fistulas in children","volume":"12","author":"Chen","year":"2024","journal-title":"Front Pediatr"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1387626","DOI":"10.3389\/fped.2024.1387626","article-title":"Open surgical excision vs. endoscopic radiofrequency ablation in managing congenital pyriform sinus fistula\u2014a comprehensive analysis of 166 cases","volume":"12","author":"Xu","year":"2024","journal-title":"Front Pediatr"},{"key":"B11","doi-asserted-by":"publisher","first-page":"951","DOI":"10.1016\/j.ijom.2006.03.019","article-title":"Endoscopic excision of forehead lipomas","volume":"35","author":"Meningaud","year":"2006","journal-title":"Int J Oral Maxillofac Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1016\/j.fsc.2005.11.003","article-title":"Endoscopic approach for mandibular orthognathic surgery","volume":"14","author":"Troulis","year":"2006","journal-title":"Facial Plast Surg Clin North Am"},{"key":"B13","doi-asserted-by":"publisher","first-page":"479","DOI":"10.1007\/s00405-022-07751-7","article-title":"Combined endoscope and low-temperature plasma knife for bilateral nasal vestibular cyst with sinus tract formation","volume":"280","author":"Yang","year":"2023","journal-title":"Eur Arch Otorhinolaryngol"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1660856\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T06:23:25Z","timestamp":1761891805000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1660856\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":13,"alternative-id":["10.3389\/fped.2025.1660856"],"URL":"https:\/\/doi.org\/10.3389\/fped.2025.1660856","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,31]]},"article-number":"1660856"}}