Intraosseous hemangioma of the appendicular skeleton: imaging features of 15 cases, and a review of the literature

Rigopoulou, Aspasia; Saifuddin, Asif

doi:10.1007/s00256-012-1444-z

Cited by 32 publications

(19 citation statements)

References 24 publications

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“…Hemangiomas account for 7-10% of all soft-tissue tumors (6,7). IH is the most common type of deep soft-tissue hemangioma, one of the most common types of deep-seated soft tissue tumors, as well as the most common type of benign tumors of muscle (5).…”

Section: Discussionmentioning

confidence: 99%

Misdiagnosis of pathological femoral fracture in a patient with intramuscular hemangioma: A case report

Nie

Zhang

et al. 2016

Oncology Letters

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Abstract. Hemangioma is a common disease; however, intramuscular hemangioma (IH) presenting with a pathological fracture is extremely rare. The present study reports a case of a 46-year-old male patient that suffered from IH of the right thigh, presenting with a pathological femoral fracture. The patient was initially diagnosed with a traumatic femoral fracture, and routine open reduction and internal fixation were performed at a local hospital. However, 20 days subsequent to surgery, gradual swelling and soreness around the incision were observed. The incision eventually ruptured during squatting for bowel movement, which led to extensive blood loss. Based on computed tomography (CT) and deep femoral artery arteriography, IH presenting with a pathological femoral fracture was diagnosed. The patient underwent artery embolization, from which he recovered well. At the 6-month follow-up, the femoral fracture was revealed to have healed, and a CT scan demonstrated no evidence of recurrence; however, continuous observation using CT is required in order to determine the long-term outcome. To the best of our knowledge, this is the first case of a misdiagnosed pathological femoral fracture in a patient with IH reported in the English literature.

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Section: Discussionmentioning

confidence: 99%

Misdiagnosis of pathological femoral fracture in a patient with intramuscular hemangioma: A case report

Nie

Zhang

et al. 2016

Oncology Letters

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“…Hemangiomas are benign, slow-growing vascular neoplasms composed of a mixture of vessels, fat, smooth muscle, fibrous tissue, and clotted blood. 71,72 They are most commonly found in women in the 4 th -5 th decades, primarily in the spine. The classic CT appearance of spine lesions is diagnostic and includes a well-circumscribed hypodense lesion with a "corduroy" (coronal or sagittal plane) or "polka dot" (axial plane) appearance due to coarsened trabecula.…”

Section: Vascular Bone Tumorsmentioning

confidence: 99%

Computed Tomography and Magnetic Resonance Imaging of Bone Tumors

Ladd

Roth

2017

Seminars in Roentgenology

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Imaging is the key to diagnosing and guiding management of bone tumors. Although radiographs are the gold standard for initial imaging evaluation and may make the diagnosis, computed tomography (CT) and magnetic resonance (MR) imaging are important adjunct tools for further characterization as a benign or aggressive lesion, accurately determining matrix composition, assessing lesion extent as well as secondary involvement of nearby structures if malignant, and staging tumors when applicable. In this article, we will highlight important features of CT and MR imaging for bone tumor _________________________________________________________________________________

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“…(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%

“…(1,3) Corresponding to the 'polka dot' pattern observed in axial CT images, axial MR images may also reveal multiple dots. (2) Tc-99m MDP bone scintigraphy is considered nonspecific, with either variable degrees of radiotracer uptake or absence of tracer accumulation.…”

Section: A 5bmentioning

confidence: 99%

“…(2) It is most frequently seen in the vertebrae (30%-50%) and skull (20%), while involvement of the appendicular skeleton, such as long tubular bones, is less frequent. (3) Solitary IOH in long bones is usually located in the diaphyseal and metadiaphyseal regions. (2) Herein, we present an uncommon case of a large, solitary IOH in the femoral neck.…”

Section: Introductionmentioning

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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Intraosseous hemangioma of the appendicular skeleton: imaging features of 15 cases, and a review of the literature

Abstract: This is the largest reported series of imaging features of intraosseous hemangiomas of appendicular skeleton. The lesion should be differentiated from other chondral or expansile lytic tumors. The final diagnosis can only be confirmed by histopathology.

Cited by 32 publications

References 24 publications

Misdiagnosis of pathological femoral fracture in a patient with intramuscular hemangioma: A case report

Misdiagnosis of pathological femoral fracture in a patient with intramuscular hemangioma: A case report

Computed Tomography and Magnetic Resonance Imaging of Bone Tumors

Successful treatment of solitary intraosseous haemangioma of the femoral neck

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