Successful treatment of solitary intraosseous haemangioma of the femoral neck

Xia, Zhan; Sittampalam, Kesavan; Howe, Tet Sen; Lo, Ngai Nung

doi:10.11622/smedj.2015064

Cited by 5 publications

(5 citation statements)

References 11 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: Biopsymentioning

confidence: 99%

“…No recurrence was observed at 39 months of follow-up. [6] Lucia et al reported a cavernous hemangioma of the proximal femur in a young male who received en bloc resection of a tumor due to the large range of involvement and high risk of pathologic fracture. [29]…”

Section: Biopsymentioning

confidence: 99%

“…[2] These tumors are most commonly observed in the spine (30%-50%) and skull (80%), with the involvement of long and flat bones being very rare. [2][3][4][5][6] Intraosseous hemangiomas are rarely multifocal, being generally unifocal within a single bone or region. [7][8][9] Few reports have described multifocal intraosseous hemangiomas involving different parts of the human body (Table 1), [7,10,11] which vary in clinical manifestation and treatment options.…”

Section: Introductionmentioning

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: Biopsymentioning

confidence: 99%

Section: Biopsymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Multifocal intraosseous hemangioma

Yao

Tang

et al. 2019

Medicine

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“…Radiological presentations of hemangiomas in the long bones are highly variable and non-specific and are difficult for a correct diagnosis [ 4 ] because diverse matrix found in the bone hemangioma like vessels, fat, fibrous tissue, smooth muscles, and clotted blood may all account for the variable radiological presentations [ 13 , 14 ]. The medullary type mainly occurred at the diaphysis or metaphysis with few involvement of the epiphysis.…”

Section: Discussionmentioning

confidence: 99%

“…CT appearance of hemangioma in long bones correspond to that on radiographs as a lytic lesion with internal trabecula [ 14 ], and in some patients, the thickened vertical trabecular may have a ‘polka dot’ appearance as in the spinal variety [ 13 , 14 ]. On MRI, the long bone hemangioma may demonstrate low, intermediate or high signal intensity on T1WI.…”

Section: Discussionmentioning

confidence: 99%

Imaging features of hemangioma in long tubular bones

Cao

Wen

Han

et al. 2021

BMC Musculoskelet Disord

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Background To investigate the imaging features of hemangiomas in long tabular bones for better diagnosis. Methods Twenty-four patients with long bone hemangiomas confirmed by pathology were enrolled. Nineteen patients had plain radiography, fourteen patients had computed tomography (CT) and eleven had magnetic resonance imaging (MRI). The hemangioma was divided into medullary [13], periosteal [6] and intracortical type [5]. Results Among 19 patients with plain radiography, eleven patients were medullary, three periosteal, and five intracortical. In the medullary type, the lesion was primarily osteolytic, including five cases with irregular and unclear rims and one lesion having osteosclerotic and unclear rims. In three patients with the periosteal type, the lesion had clear rims with involvement of the cortical bone in the form of bone defect, including two cases with local thickened bone periosteum and one case having expansile periosteum. Five intracortical hemangiomas had intracortical osteolytic lesions with clear margins. Among 14 patients with CT imaging, 8 cases were medullary, three periosteal, and three intracortical. Among 8 medullary hemangiomas, one had ground glass opacity, and seven had osteolytic, expansile lesions like soft tissue density with no calcification. In three periosteal cases, the lesion was osteolytic with thickened periosteum and narrowed medullary cavity. In three intracortical hemangiomas, the lesion was of even soft tissue density with no calcification. Among 11 patients with MRI imaging, seven were medullary, two periosteal, and two intracortical. Among 7 medullary lesions, six were of hypointense signal on T1WI and hyperintensesignal on T2 WI. In two periosteal cases, the periosteum was thickened, with one case being of equal signal, and the other having no signal. Two intracortical hemangiomas were both of slightly low signal on T1WI but hyperintense signal on T2WI. Conclusions The long bone hemangiomas had characteristic cystic honeycomb-like presentations in plain radiograph. CT and MRI imagings are helpful for diagnosis of hemangiomas in long bone.

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Skeletal hemangiomas

Rickert

Meurer

2017

Orthopäde

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Hemangiomas are benign tumors, which are mainly composed of neoplastic blood vessels. The exact pathogenesis is still unclear. They are the most common benign spinal tumors and also occur less commonly in the bones of the extremities. Hemangiomas are often clinically asymptomatic and are diagnosed as incidental findings. Women are affected more frequently than men (2:1). The X‑ray and computed tomography (CT) diagnostics typically demonstrate the classical honeycombing or vertically orientated lucencies separated by thickened cancellous bone in the affected skeletal section. Vertebral hemangiomas are hyperintense in both T1 and T2-weighted magnetic resonance imaging (MRI). The treatment of vertebral hemangiomas ranges from irradiation, embolization and vertebroplasty to operative decompression, resection of the tumor and instrumented stabilization. In the long bones intralesional curettage and bone grafting with additive osteosynthesis is the main treatment modality. The prognosis for osseous hemangiomas is good.

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Successful treatment of solitary intraosseous haemangioma of the femoral neck

Cited by 5 publications

References 11 publications

Multifocal intraosseous hemangioma

Multifocal intraosseous hemangioma

Imaging features of hemangioma in long tubular bones

Skeletal hemangiomas

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