Thoracic Hemangioma From Rib Presenting as Compressive Paraparesis in a Young Adult

Shaik, Ismail; Karapurkar, Anil; Bhojraj, Shekhar Y; Naggad, Premik

doi:10.1097/brs.0000000000001037

Cited by 3 publications

(2 citation statements)

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“…On CT, rib hemangioma often shows three features, i.e. bone disruption, extraosseous lesion, and expanded bone ( 2 – 23 ) ( Table 1 ). Nineteen of the 24 hemangiomas showed bone disruption and 18 of the 24 hemangiomas showed extraosseous lesions.…”

Section: Discussionmentioning

confidence: 99%

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Hemangioma of the rib showing a relatively high 18F-FDG uptake: a case report with a literature review

Itabashi

Emori

Terashima

et al. 2017

Acta Radiologica Open

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Hemangioma of the rib is a rare benign tumor that is often difficult to distinguish from malignant bone tumors. Rib hemangioma often shows bony disruption with a slight cortical disruption, extraosseous lesion, and expanded bone on computed tomography (CT). We report the case of a 68-year-old man with atypical rib hemangioma with a slight cortical disruption and no expanded bone. The tumor showed relatively high 18FDG-uptake on positron emission tomography (PET)/CT. Rib hemangioma often shows higher 18FDG-uptake. PET/CT may not provide useful information for distinguishing rib hemangioma from a malignant tumor. Close observation without surgical resection may be feasible if the tumor is diagnosed as a rib hemangioma by biopsy.

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Section: Discussionmentioning

confidence: 99%

“…In our review of the literature, resection was conducted in all cases. In some cases, embolization was conducted preliminary to reduce intraoperative blood loss or bleeding after biopsy ( 20 , 21 ). Resection of the tumors was often performed without biopsy.…”

Section: Discussionmentioning

confidence: 99%

Hemangioma of the rib showing a relatively high 18F-FDG uptake: a case report with a literature review

Itabashi

Emori

Terashima

et al. 2017

Acta Radiologica Open

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Atypical Radiographic Features of Aggressive Vertebral Hemangiomas

Wang

Zhang

Yang

et al. 2019

The Journal of Bone and Joint Surgery

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Background: Vertebral hemangioma (VH) is one of the most common benign spinal tumors and can be aggressive in some cases. While most aggressive VHs have typical radiographic features, including vertical striations, a honeycomb appearance, and/or a “polka-dot sign” in computed tomography (CT) scans, cases with atypical features might complicate diagnosis. This study aimed to determine the range and frequency of these atypical features. Methods: In this retrospective study, to identify the typical and atypical features of aggressive VH, pretreatment CT and magnetic resonance imaging (MRI) were reviewed retrospectively by 1 radiologist and 1 orthopaedic surgeon. Percutaneous biopsies were performed to confirm the VH in atypical cases. Results: A total of 95 patients with aggressive VHs were treated in our hospital from January 2005 to December 2017. Thirty-four (36%) of the lesions showed at least 1 atypical radiographic feature: 16 patients (17%) had a vertebral compression fracture, 11 patients (12%) had expansive and/or osteolytic bone destruction without a honeycomb appearance and/or “polka-dot sign”, 11 patients (12%) had obvious epidural osseous compression of the spinal cord, 12 patients (13%) had involvement of >1 segment, 9 patients (10%) had a VH centered in the pedicle and/or lamina, and 8 patients (8%) had atypical MRI signals. Forty-three patients underwent percutaneous biopsies, which had an accuracy of 86%. Conclusions: Based on radiographic analysis, aggressive VH can be classified as typical or atypical. More than one-third of aggressive VH lesions may have at least 1 atypical feature. CT-guided biopsies are indicated for these atypical cases.

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Rib Hemangiomas: Intriguing Findings from a Systematic Review of Rare Thoracic Tumors

Kumar,

Magloire,

Quintero

et al. 2024

JCM

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Background: Bone hemangiomas are rare benign vascular tumors, comprising less than 1% of all bone tumors. They are predominantly found in the vertebral body or skull; rib hemangiomas are particularly rare and are often misdiagnosed as malignant tumors. Given the high malignancy rate of primary rib tumors, understanding rib hemangiomas is crucial to avoid misdiagnosis. Methods: A systematic review was conducted according to PRISMA standards. A comprehensive literature search was performed in PubMed, EMBASE, Web of Science, and Scopus. Data on patient demographics, tumor characteristics, and clinical presentation were analyzed using STATA/SE 17. Results: From 306 articles, 40 studies including 43 patients met the inclusion criteria. Rib hemangiomas showed a bimodal age distribution, with peaks in patients younger than 30 years (mean age 21.43 ± 5.60 years) and ≥30 years (mean age 59.96 ± 9.70 years). Females were more affected (62.79%) than males (37.21%), with a ratio of 1.69:1. The tumors were most frequently located in mid-thoracic ribs (4–8) and predominantly on the left side of the thorax. The mean tumor size was 7.27 cm, with 76.19% exhibiting osteolytic changes. Clinically, 63.41% of cases were asymptomatic, while symptomatic cases mainly presented with pain. Conclusions: Rib hemangiomas, though rare, should be considered in the differential diagnosis of thoracic tumors. They present as well-demarcated lytic lesions with distinct imaging features, and they typically require complete surgical excision, which may be aided with preoperative embolization. Their accurate diagnosis involves a combination of radiologic and clinical evaluation. Further studies are needed to understand the disease’s pathophysiology and to refine diagnostic and treatment protocols.

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Thoracic Hemangioma From Rib Presenting as Compressive Paraparesis in a Young Adult

Abstract: N/A.

Cited by 3 publications

References 5 publications

Hemangioma of the rib showing a relatively high 18F-FDG uptake: a case report with a literature review

Hemangioma of the rib showing a relatively high 18F-FDG uptake: a case report with a literature review

Atypical Radiographic Features of Aggressive Vertebral Hemangiomas

Rib Hemangiomas: Intriguing Findings from a Systematic Review of Rare Thoracic Tumors

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