Soft tissue hemangiomas are among the most prevalent soft tissue tumors and can pose diagnostic challenges due to their propensity to extend into various regions. In our case, imaging studies facilitated effective characterization of the mass, and timely intervention with sclerotherapy enabled adequate initial control of the lesion. Subsequently, medical management with propranolol and a second scheduled surgical intervention with sclerotherapy contributed to a reduction in the lesion size, alleviation of symptoms, and improvement in prognosis.