Intraosseous haemangioma of the proximal femur: imaging findings

Chawla, Ashish J; Singrakhia, Manoj; Maheshwari, Mohit; Modi, N; Parmar, Hemant

doi:10.1259/bjr/53131368

Cited by 31 publications

(32 citation statements)

References 8 publications

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“…Medullary IOHs can be further subcategorised into diaphyseal (48%), metadiaphyseal (30%), metaphyseal (12%), metaepiphyseal (4%), epimetadiaphyseal (3%), epiphyseal (1.5%) IOHs, and IOH over the total length of the bone (1.5%). (7) In the present case, the patient presented with groin pain and her IOH lesion was of the metaepiphyseal medullary type.…”

Section: Discussionmentioning

confidence: 65%

“…(7) In the present case, the diagnosis of cavernous IOH was made based on radiographic and angiographic findings. The histological features of the biopsy specimens from curettage were consistent with the diagnosis made.…”

Section: Mr Imaging Findingsmentioning

confidence: 89%

“…(2) Chawla et al (7) reported one case of IOH involving the femoral head in 2006 and Ferrari et al (8) described a case of IOH at the intertrochanteric area of the femur in 2011. The comparison between the previous studies and the present case is summarised in Table I. IOHs of the axial skeleton are usually asymptomatic, while those over the appendicular skeleton, depending on the size and site of lesion, are often associated with symptoms such as pain, swelling and pathological fractures.…”

Section: Discussionmentioning

confidence: 99%

“…(3,7) Alternatively, it may present with an expansile osteolytic appearance. (9) The appearance of IOHs on CT corresponds with its appearance on plain radiography.…”

Section: A 5bmentioning

confidence: 99%

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Successful treatment of solitary intraosseous haemangioma of the femoral neck

Xia¹,

Sittampalam²,

Howe³

et al. 2015

smedj

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Intraosseous haemangiomas (IOHs) are benign vascular bone tumours that account for 1% of all primary bone tumours. They are most frequently seen in the vertebrae and skull, and are rarely found in long bones. Herein, we present an uncommon case of a 25-year-old woman with a solitary IOH that occupied the left femoral neck. We describe the clinical, radiological and histological details of the case, as well as the three-year outcome of the surgical treatment, which successfully preserved the femoral head. We also conducted a review of the literature on this uncommon entity.

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Section: Discussionmentioning

confidence: 65%

Section: Mr Imaging Findingsmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

“…(3,7) Alternatively, it may present with an expansile osteolytic appearance. (9) The appearance of IOHs on CT corresponds with its appearance on plain radiography.…”

Section: A 5bmentioning

confidence: 99%

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Successful treatment of solitary intraosseous haemangioma of the femoral neck

Xia¹,

Sittampalam²,

Howe³

et al. 2015

smedj

View full text Add to dashboard Cite

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“…Subsequent CT and MRI scans may reveal the extent of cortical destruction more clearly. The presence of fat density on MRI examinations, well-defined rather than infiltrative borders and sclerotic margins, and a honeycomb appearance are highly suggestive of bone hemangiomas (32)(33)(34). Ching et al reported that bone hemangiomas commonly exhibit hypointensity on T1-weighted images and hyper intensity on T2-weighted images depending on the quantity of vascularity and adipose tissue (16).…”

Section: Discussionmentioning

confidence: 99%

A rare case of pure primary hemangioma of the scapula: A case report

Zou

Dai

et al. 2015

Oncology Letters

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Abstract. Hemangioma is a benign vascular tumor, which may occur in any bone of the body. The most common locations are the spine and craniofacial bone; however, occurrence is extremely rare in the scapula. The current study presented the case of a 58-year-old female, with scapula hemangioma in the left shoulder who presented with joint ache that had lasted for ~1 year. The main clinical manifestations included local tenderness, an osseous lump and limited shoulder movement with a little pain, which was alleviated by rest. Roentgenogram, computed tomography and magnetic resonance imaging of the left acromion revealed a mass along the inner surface of the scapula of the left shoulder with polycystic expansion and bone destruction. The results of computed tomography and magnetic resonance imaging indicated a pure primary tumor and the lesion was subsequently resected. Notably, the postoperative pathological diagnosis was capillary hemangioma. The aim of the present study was to analyze the clinical and imaging features of scapula hemangioma, which must be considered for the differential diagnosis of scapula tumors. In the present case, no recurrence was identified by X-ray examination 1 year after surgery. The long-term efficacy of surgical treatment requires continuous observation of the patient. IntroductionBone hemangiomas are benign lesions originating from new capillaries or cavernous vascular vessels located in the bone. They are characterized by an increased number of normal or abnormal blood vessels. Bone hemangiomas are initially asymptomatic, however, as the tumor grows local pain is often experienced (1). Degradation can occur during the growth of hemangioma (2). These rare, slow growing neoplasms may occur at any age, and account for ~1% of bone tumors (3-5). Hemangiomas may occur in any bone of the body, most commonly in the spine, craniofacial bone, skull, ribs and long bones (6-15); however, occurrence in the scapula is extremely rare. Hemangiomas of the long bone or flat bone commonly have a 'foam' or 'honeycomb' appearance (16-18). Bone hemangiomas disrupt the cortex and commonly grow expansively, which may result in the lesions being misdiagnosed as aggressive tumors or osteofibrous dysplasia and infectious processes (9,19). At present, treatments include radiotherapy, surgery and vascular embolization (1). In the present study, a rare case of a capillary hemangioma of the scapula, which proved difficult to diagnose, was presented.To the best of our knowledge, this is the first case of pure primary hemangioma of the scapula that was misdiagnosed as an osteofibrous dysplasia (20) and treated with surgery. Case reportIn June 2013, a 58 year-old female presented at the First Affiliated Hospital of Nanchang University (Nanchang, China) with intermittent/repeated left shoulder pain, which had lasted for ~1 year. The main clinical manifestations included local tenderness, an osseous lump and limited shoulder movement with a little pain, which was alleviated by rest. The patient was referred to the Depa...

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