Management of hemangioma depends on a variety of factors but most hemangiomas require no intervention. Hemangiomas involving long tubular bones are usually larger than those of the skull and spine, since they usually become symptomatic when they grow large 16. Cavernous hemangiomas are rare benign bone tumors and those at the level of the cranial bones are even rarer. Buey and capp were the first authors to report on hemangiomas in the american literature,6 describing eight cases of hemangioma of bone, with only one involving a long bone ulna. A ct scan may also show a polka dot appearance in the bone. A softtissue hemangioma may cause osseous overgrowth secondary to chronic hyperemia, depending on its location.
Giant cavernous hemangioma of the eleventh rib journal of. Successful treatment of solitary intraosseous haemangioma of the femoral neck. Although radiographs of softtissue hemangiomas are usually normal, phleboliths are associated with cavernous hemangiomas in approximately 50% of cases 1,6. An intermediate locally aggressive, rarely metastasizing vascular tumor of bone. Pdf haemangiomas of bone are uncommon lesions, accounting for. When haemangiomas involve long tubular bones, they are usually found in the diaphysis or metadiaphysis. Hemangioma of bone is comparatively rare and usually affects the vertebrae, skull, and long bones. They can grow on the surface or deeper into the center canal of a bone. We report a parietal hemangioma in a middleaged female which presented as a painless swelling that was progressively increasing in size and was treated surgically.
Radiography and computed tomography ct may show phleboliths in cavernous softtissue hemangioma. When haemangiomas involve long tubular bones, they are usually found in the diaphysis or. Herein, we present an uncommon case of a 25yearold woman with a solitary ioh that occupied the left femoral neck. Cavernous hemangiomas, on the other hand, are typically found in. Primary intraosseous cavernous hemangioma is a rare benign skeletal tumor, which occurs at all ages, but is more common in the 4th decade of life. Juxtaarticular or epiphyseal location for a long bone haemangioma is rare. Although rare, calvarial hemangioma should be a part of the. Among the bones of the skull, the lesions occur most commonly in the parietal bone, followed by the frontal bone 3,79. They occur most frequently in the vertebral column 3050% and skull 20%, whereas involvement of other sites including the long bones, short tubular bones. Occurrence of bone haemangioma in association with long bones, short tubular bones and ribs is extremely rare.
Successful treatment of solitary intraosseous haemangioma of the femoral neck zhan xia 1, mbbs, kesavan sittampalam 2, mbbs, frcpa, tet sen howe 1, mbbs, frcs, ngai nung lo 1, mbbs, frcs. Hemangiomas involving long tubular bones are usually larger than those of the skull and spine, since they usually become symptomatic when they grow large. There are four histologic variants of hemangiomas, classi. On 2fluoro fluorine18 2deoxydcavernous hemangioma of the ilium mimicking aggressive malignant bone tumor with increased activity on 18ffdg petct. Maffucci syndrome is a rare disease first reported in 1881 and is characterized by multiple enchondromatosis and cavernous hemangiomas of the dermis, subcutis, or internal organs at birth or in early childhood 1. The authors report a case of periosteal cavernous hemangioma of the distal humeral. Hemangioma symptoms and diagnosis hemangioma diagnosis. Successful treatment of solitary intraosseous haemangioma of the. Characterization of clinicopathological features of tubal cavernous. Scott stacy, md anthony montag, md history a 29yearold policewoman with no medical or surgical history presented to the orthopedic clinic with a 10year history of intermittent chronic pain in the right distal thigh. We describe a 52yearold woman who presented with left knee pain for 45 years and loss of weight over one week. We report a case of an unusually large primary intraosseous orbital hemangioma pioh extensively involving the orbital roof, the medial and lateral orbital walls, and the lesser and greater. Cavernous hemangioma of the rib is extremely rare benign vascular tumor. They are most frequently seen in the vertebrae and skull, and are rarely found in long bones.
Cavernous hemangioma, thoracotomy, tumor, diagnosis background. Primary intraosseous cavernous hemangiomas are rare skull lesions that are not typically known to involve the orbital bones or the dura. Less than 5% of these hemangiomas involve the orbital bones 2,25,31. These apparent miracle cancer cures can often be dismissed because histological proof of malignancy was missing in the first place, or the patient forgot to mention that he or she was taking conventional therapy as well. Typically, the final traces of color disappear by 5 to 7 years of age. Sclerosing angiomatoid nodular transformation of the spleen in a patient with maffucci syndrome. Bone hemangioma is a vascular hemartoma of bone structures and primary lesion accounts for less than 1% of all bone tumors with a male to female ratio of 11. Cavernous hemangioma, also called cavernous angioma, cavernoma, or cerebral cavernoma ccm when referring to presence in the brain is a type of benign vascular tumor or hemangioma, where a collection of dilated blood vessels form a lesion. Primary intraosseous hemangiomas of the cranium are rare benign tumors comprising only 0. Softtissue cavernous hemangioma rsna publications online. Bone hemangiomas are benign, malformed vascular lesions, overall constituting less than 1% of all primary bone neoplasms. The cases reported here demonstrated a combination of capillary and cavernous components. Angioma of the bone can appear in the vertebrae, on the tubular bones and bones of the cranium, which is often accompanied by pain syndrome, deformity, periosteum damage. Osseous hemangiomas in the peripheral, tubular and flat bones are uncommon.
Primary bone hemangiomas are less than 1% of all bone tu mors, and they are seen at 0. The magnetic resonance mr imaging appearance, however, is often more distinctive, because fat overgrowth and serpentine vascular channels can be seen. Epiphyseal hemangioma of the humeral head koreamed synapse. On 2fluoro fluorine182deoxyd cavernous hemangioma of the ilium mimicking aggressive malignant bone tumor with increased activity on 18ffdg petct. Cavernous hemangioma of the orbit is a benign tumor mostly located behind the eye globe, but it rarely spread into the brain, which is called cerebral cavernous malformation as well, the lesion in the brain is irregular and enlarged blood. The present case is the first reported case of bone haemangioma arising from the hyoid bone. Epithelioid hemangioma eh is a rare benign vascular lesion of soft tissue and bone, characterized. Dumbbell shaped craniorbital cavernous hemangioma bmc. Skeletal cavernous hemangiomas grow slowly and mainly occur in women between 20 and 40 years of age 9. We describe a rare case of a frontoorbital bone cavernous hemangioma with extension into the dura.
The differential diagnosis for a hemangioma of long bones included a giant cell tumor, aneurysmal bone cyst, fibrous dysplasia, and plasmacytoma 1, 5. However, these tumors usually located in the parietal and frontal regions 3,4. Moreover, needle biopsy of a cavernous hemangioma carries a high risk of. Successful treatment of solitary intraosseous haemangioma. The rate of regression is unrelated to the appearance, depth, gender, site, or size of the hemangioma 2. We present a case of a cavernous hemangioma of the ilium mimicking. Sclerosing angiomatoid nodular transformation of the. A 68yearold female presented with a oneyear history of diplopia with discomfort around her left orbit. An intraosseous hemangioma rarely involves in the epiphysis of the. Epithelioid hemangioma of distal femoral epiphysis in a. While they can cause worry, they are mostly harmless and often do. Multiple intraosseous calvarial hemangiomas mimicking.
Cavernous hemangiomas of the fallopian tube are rare benign tumors that have. Vascular brain tumors are considered extremely dangerous. Presentation haemangioma hyoid bone surgical meetingl. A unique case of calvarial hemangioma surgical neurology. Enchondromas in the metaphyseal regions of long bones may also result in deformity and limb asymmetry, as well as pathological fractures 1.
Pdf radiologic features with pathologic correlation of. Here we report one particular case of craniorbital cavernous hemangioma. An initial radiograph of the knee showed several well. We present the imaging findings in a case of a histopathologically proven juxtaarticular intraosseous haemangioma of the proximal femur. The preoperative diagnosis is a challenge both clinically and radiologically, and difficult to distinguish this tumor from other tumors of the rib or long bones.
They describe the imaging findings of hemangiomas of long tubular bones and discuss their differential diagnosis. Background cavernous hemangioma ch of the bone is a rare, benign neoplasm found usually in the. The most common are neurogenic tumors and cavernoma. Long tubular bones 40% short tubular bones of the distal lower extremity 18% flat bones 18% vertebrae 16% small bones of the hands 8% contiguous bone involvement has been reported. In this article, we report a case of hyoid bone haemangioma. There have been many claims of remissions in cancer patients taking a variety of nonconventional therapies but few stand up to objective clinical and pathological scrutiny. Epithelioid hemangiomas typically involve long tubular bones and the lower. Hyungjin kim, jung hee kim, jae hyoung kim, and eui gee hwang. A 50yearold woman of italian ethnicity presented with a frontal mass. Internal hemangiomas are benign tumors that can be found on organs, such as the liver and brain. It may occur at any age and is equally distributed between the sexes. Treatment of long bone hemangioma depends on the extent and. We reported this case of giant cavernous hemangioma of the rib for its extremely rare occurrence.
They are composed of large vessels and deeper than those of capillary hemangiomas. Less frequently, hemangiomas involving the major long tubular bones of the lower extremities and ribs have been documented. However, the angiogram revealed a cavernous haemangioma with no. Cavernous hemangioma of the ilium mimicking aggressive. A clear surgical view was obtained using endoscopy, which also aided in performing an osteotomy through a small stab. The overall spectrum of hemangiomas involving long tubular bones is exemplified by three cases, the first being medullary, the second periosteal, and the third intracortical. Trabecular, or cancellous, bone is a latticeshaped structure within the bone. Softtissue hemangioma is the most frequent softtissue neoplasm of infancy and childhood. Cavernous malformations angioma, cavernoma, cavernous hemangioma manifest in two different modes, may be inherited, and are typically multiple and bilateral, although they may also be solitary and sporadic 11.
Cavernous hemangioma of the proximal femur lucia ferrari, juan. The locations of these lesions are commonly long bones of the vertebral column and the skull 1. In the case of hemangiomas of the flat bones which show aggressive growth and osteolytic lesions, malignant bone tumors can be considered as a primary differential diagnosis 1, 3 5. The clinical presentation was progressive pain at the site of the lesion in all cases. Bone erosion caused by sinonasal cavernous hemangioma. A 53yearold woman presented with a rare case of cavernous hemangioma of the frontal bone manifesting as right frontal stabbing headache and local swelling.
Imaging lesions of the cavernous sinus american journal. Intraosseous haemangioma constitutes less than ten percent of all primary bone neoplasms. Article information, pdf download for cavernous hemangioma of the proximal femur open. Hemangiomas, often called infantile or juvenile hemangiomas for clarity, are benign tumors that exhibit an early and rapid proliferation phase during the first year of life characterized by endothelial and pericytic hyperplasia, followed by a slower. Current management of hemangiomas and vascular malformations. Capillary hemangiomas, usually arising in the nasal septum 10,11, are composed of capillarysized vessels, which are lined with flattened epithelium, and are common, especially at a younger age. Radiologic features with pathologic correlation of an. Multifocal intraosseous hemangioma, which affects multiple body parts. Approximately 75 percent occur in the calvarium or vertebrae, with long bones, short tubular bones and ribs constituting the rest. Cavernous angioma is basically a blood sponge, a slow. Cavernous hemangioma of the ilium mimicking aggressive malignant.
The hemangiomas that occur in bones typically occur in the skull or spine and are most common in people who are 50 to 70 years of age. Using a combination cosmetic approach of open rhinoplasty and endoscopyassisted nasal surgery, a rare case of intraosseous cavernous hemangioma in the nasal bone was successfully treated. They are two to three times more common in females than males. Skeletal cavernous hemangiomas of the frontal bone with. Cavernous hemangioma, known as congenital but now it is considered as an autosomal dominant disease. Most central hemangiomas are the cavernous type large vessels, but can be of capillary type small. If a hemangioma is suspected, the doctor will order an xray to check for a specific pattern on the bone, called a trabecular pattern. The involuting phase extends from 1 year until 5 to 7 years of age. Capillary and cavernous types are the most common hemangiomas found in bone. Tumors of the nasopharynx, skull base, and sphenoid sinus may extend to the cs as can perineural and hematogenous metastases. Endoscopic open rhinoplasty enables a cosmetic approach. Cureus intraosseous orbital cavernous hemangioma with.
388 1241 1068 375 909 510 1332 145 1594 1159 276 851 1631 1261 1069 1558 888 147 19 825 217 592 1427 1606 330 832 114 69 443 951 55 1095 990 594 1088 311 83