Multifocal hemangioendothelioma of the lumbar spine and response to surgical resection and radiation

Kelahan, Linda C.; Sandhu, Faheem A.; Sayah, Anousheh

doi:10.1016/j.spinee.2015.07.005

Cited by 12 publications

(15 citation statements)

References 10 publications

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“…The term “aggressive” refers to the presence of radiological features such as extension beyond the vertebral body, destruction of the cortex, and invasion of the epidural and paravertebral spaces. [6,8,14] Based on the radiological features, a vertebral hemangioma can be classified as typical, atypical, or aggressive. [14] In cases of compressive vertebral hemangiomas, the clinical and radiological classifications typically match because of the associations between compressive symptoms and aggressive behavior.…”

Section: Discussionmentioning

confidence: 99%

“…The authors suggested that when 3 or more features are present in association with nerve root pain, aggressive vertebral hemangiomas should be suspected. [8]…”

Section: Discussionmentioning

confidence: 99%

“…[5] The imaging results of rib hemangiomas characteristically exhibit expansile and well-circumscribed lesions with a thin, intact bony cortex; fine bony trabeculae; and no associated pleural effusion. [8] The arrangement of fine bony trabeculae in a rib hemangioma can confer a “honeycomb” appearance to the medullary cavity of the rib. [3,7] Expansive growth by a rib hemangioma beyond the disrupted bony cortex, which suggests an aggressive lesion, has been previously described in only a few cases.…”

Section: Discussionmentioning

confidence: 99%

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Multifocal intraosseous hemangioma

Yao

Tang

et al. 2019

Medicine

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Rationale:Multifocal intraosseous hemangioma, which affects multiple body parts, is rare. The selection of appropriate lesion sites for biopsy and effective treatment in multifocal intraosseous hemangioma is challenging. Here, we report a case of multifocal intraosseous hemangioma.Patient concerns:A 49-year-old woman was admitted to our department with a chief complaint of aggravated lumber pain for 10 days.Diagnoses:Radiographic imaging revealed lesions involving the bilateral ribs, lumbar vertebrae, ilium, pubis, and proximal femur. Open biopsy in the ilium established the pathological diagnosis of intraosseous hemangioma.Interventions:For the symptomatic lumbar spine, the patient selected radiotherapy as the initial treatment.Outcomes:As of the one-year follow-up, no symptoms of recurrence have been observed.Lessons:This rare case demonstrates the importance of the selection of the appropriate lesion to confirm the diagnosis and effective treatment for patients with multifocal disease. Radiotherapy plays an important role in the treatment of patients with symptomatic vertebral hemangiomas without neurologic deficits.

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Section: Discussionmentioning

confidence: 99%

“…The authors suggested that when 3 or more features are present in association with nerve root pain, aggressive vertebral hemangiomas should be suspected. [8]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Multifocal intraosseous hemangioma

Yao

Tang

et al. 2019

Medicine

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“…A benign vascular lesion, epithelioid hemangioma, is often mistaken with EHE (12). However, unlike epithelioid hemangiomas, EHE is commonly present as large, infiltrative lesions (13). Angiosarcoma is malignant vascular tumor that can be mistaken with EHE (14).…”

Section: A B Cmentioning

confidence: 99%

“…Computed tomography (CT) scan, though nondiagnostic, can be used to evaluate the degree of bony destruction (15). MRI findings of EHE are nonspecific, they include decrease in signal intensity on T1-weighted images, and isointense to slightly increase in signal intensity on T2-weighted images (13). In our patient, MRI demonstrated a lytic lesion that enhanced with gadolinium showing cord compression, and slight increase in signal intensity on T2-weighted images and decrease in signal intensity on T1-weighted images (Figure 2).…”

Section: Radiological Featuresmentioning

confidence: 99%

Epithelioid hemangioendothelioma of the spine: case report and review of the literature

Albakr¹,

Schell²,

Drew³

et al. 2017

J. Spine Surg.

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Epithelioid hemangioendothelioma (EHE) has been described as a rare vascular bone lesion with histological features between hemangioma and high-grade angiosarcoma. Spinal EHE is a quite rare disease with few case reports and series reported in the literature. The tumor cells are positive for vimentin, CD31and The patient was started on local radiation therapy (RT). On follow-up, 3 months after the second surgery, the thoracic spinal pain had improved dramatically. Our review highlights the diagnosis, clinical presentation, and treatment of spinal EHE. Complete resection is associated with good outcome. Radiotherapy has been used in partially resected lesions. However, the role of radiotherapy as primary treatment is not yet defined.Further studies should develop a treatment algorithm for this rare tumour.

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Epithelioid hemangioendothelioma of spine: A case report with review of literatures

Chen

Lin

Feng

et al. 2020

Radiology Case Reports

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Primary epithelioid hemangioendothelioma of the spine is the extremely rare malignant vascular neoplasm with an unpredictable outcome. A case of epithelioid hemangioendothelioma with multiple lytic lesions of thoracolumbar spine and other bones in a 29-year-old male patient is reported. A review of the published data regarding this rare neoplasm is also presented. The features of epithelioid hemangioendothelioma include the occurrence in the young male patient, multiple osteolytic lesions with thin sclerotic rim and hypermetabolic activities. However, its imaging features are not specific. Positron emission tomography/computed tomography is essential for identification of the lesions and subsequent follow-up for treatment.

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Multifocal hemangioendothelioma of the lumbar spine and response to surgical resection and radiation

Cited by 12 publications

References 10 publications

Multifocal intraosseous hemangioma

Multifocal intraosseous hemangioma

Epithelioid hemangioendothelioma of the spine: case report and review of the literature

Epithelioid hemangioendothelioma of spine: A case report with review of literatures

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