Intraosseous cavernous hemangioma: presentation of a clinical case

Alejandra Arévalo Sáenz,Manuel Pedrosa Sánchez,Natalia Frade Porto

doi:10.1186/s41984-018-0018-3

Alejandra Arévalo Sáenz, Manuel Pedrosa Sánchez + Show 1 more

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https://doi.org/10.1186/s41984-018-0018-3

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Abstract

BackgroundCavernous hemangiomas are benign tumors that exceptionally affect the cranial bones. The first description of this type of tumor was in 1845 by Toynbee. A review of the literature reveals less than 100 published cases and a growing trend every year. Total surgical excision is the treatment of choice, and the prognosis after complete excision is excellent, with a recurrence usually rare.Case presentationWe present the case of a 57-year-old patient with a painless tumor of the left frontal bone, of slow growth and osteolytic characteristics from the neuro-radiological point of view. The lesion was excised en bloc by craniectomy, followed by cranioplasty. The anatomopathological diagnosis was intraosseous cavernous hemangioma.ConclusionsDespite its low frequency, the diagnosis of intraosseous cavernous hemangioma should be considered in the presence of a slow-growing cranial tumor, with solid and painless characteristics, and its osteolytic nature confirmed by radiology. The treatment of choice consists in the complete resection of the lesion.

Highlights

Cavernous hemangiomas are benign tumors that exceptionally affect the cranial bones
Primary intraosseous cavernous hemangiomas (PICHs) are usually found in the spine and rarely appear in the vault cranial, being 0.2% of cranial bone tumors [2]
The first case of cranial cavernous hemangioma was described by Toynbee in 1845 [54]

Summary

Conclusions

Cranial cavernous hemangiomas are bony tumors of nature, which, in the absence of typical radiological features, are usually surgically treated under suspicion of another type of bone neoplasm. The treatment of choice is a complete resection by craniectomy, including healthy bone margins of safety, with good prognosis and little recurrence. Availability of data and materials Please contact the author for data requests. Authors’ contributions The individual contributions of authors to the manuscript are the following: AAS has made the elaboration of the manuscript, the description of the clinical case, the review of the literature and the surgery of the presented case. NFP has made the elaboration of the images and the table. All authors read and approved the final manuscript. Consent for publication Written informed consent for publication of their clinical details and/or clinical images was obtained from the patient/parent/guardian/relative of the patient. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations

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