Intraosseous Cavernous Hemangioma Research Articles

Intraosseous cavernous hemangioma of parietal bone: A case report and literature review

Introduction and background: Intraosseous Hemangiomas or Primary Intraosseous Hemangiomas (PIH) are slowgrowing innocuous blood vessel tumors that make up less than 1% of all bone malignancies [1-4]. These lesions are estimated to account for 0.2 percent of all benign skull tumors [4-8], with a clear female predisposition (3:1) [2]. Prior trauma to the region is thought to be the most prevalent cause of intraosseous hemangiomas. They bleed profusely when removed or biopsied; therefore, preoperative diagnosis of the lesion’s vascular character is critical [8]. They are most frequently seen in the vertebral skeleton, although they can also be found in the calvarium and facial bones. The temporal bone is the most prevalent place in the head after the vertebral skeleton, followed by the parietal, mandible, malar, and zygomatic areas [8]. In this case report, we discuss the case of a 9-year-old male who presented with a large soft mass in his right parietal region.

Intraosseous cavernous hemangioma of parietal bone: A case report and literature review

Introduction and background: Intraosseous Hemangiomas or Primary Intraosseous Hemangiomas (PIH) are slow-growing innocuous blood vessel tumors that make up less than 1% of all bone malignancies [1]. These lesions are estimated to account for 0.2 percent of all benign skull tumors [4], with a clear female predisposition (3:1) [2]. Prior trauma to the region is thought to be the most prevalent cause of intraosseous hemangiomas. They bleed profusely when removed or biopsied; therefore, preoperative diagnosis of the lesion’s vascular character is critical [8]. They are most frequently seen in the vertebral skeleton, although they can also be found in the calvarium and facial bones. The temporal bone is the most prevalent place in the head after the vertebral skeleton, followed by the parietal, mandible, malar, and zygomatic areas [8]. In this case report, we discuss the case of a 9-year-old male who presented with a large soft mass in his right parietal region.

Intraosseous cavernous hemangioma of the middle turbinate. Clinical cases

Intraosseous vascular pathology of the turbinates is extremely rare in the practice of an otorhinolaryngologist and can be presented in various histopathological variants. The article presents two clinical cases in which an intraosseous cavernous hemangioma was hidden under the mask of a hypertrophied middle turbinate. The final diagnosis was established by the results of histological examination. The analysis of these clinical cases indicates that, despite the low prevalence, atypical clinical and CT picture, intraosseous formations of the nasal cavity can be of a vascular nature and certainly require a comprehensive examination, including CT, CT with contrast and/or MRI of the nose and paranasal sinuses. These clinical observations indicate that preliminary embolization of feeding vessels before surgical treatment is not required.

Rare Intraosseous Cavernous Hemangioma of the Orbit

A healthy 52-year-old man presented with a painless, enlarging, right lateral orbital nodule of 1-year duration (A, arrow). Clinical examination revealed a 2.3-cm firm immobile lateral orbital rim mass. Computed tomography displayed an expansile and osteolytic neoplasm of the zygoma with orbital and extraorbital extension (B). Lateral orbitotomy exposed a porous neoplasm of the anterior zygomatic face (C). The exophytic component was resected, and histopathological examination demonstrated multiple, dilated, blood-filled cavities between bony trabeculae, consistent with a benign intraosseous cavernous hemangioma (D). Orbital intraosseous cavernous hemangiomas are rare, and malignancy should be ruled out in the setting of a progressive osteolytic neoplasm (Magnified version of Figure A-D is available online at www.aaojournal.org/).

Intraosseous Cavernous Hemangioma of the Neurocranium: A Review of the Literature

Skull primary intraosseous cavernous hemangiomas (PICHs) are uncommon, benign, and slowgrowing tumors. These lesions are not widely known, specifically as regards the pathogenesis. The researchers wanted to describe the clinical presentations and radiological characteristics through a literature review of 140 cranial patients who received surgical treatment and histological diagnosis. Although PICH is uncommon, it should always be considered when a hard, steadily expanding skull lesion is seen. Surgical resection should be the first line of therapy for symptomatic individuals and aesthetic motivation, and their long-term results following complete removal are excellent. Moreover, we describe four patients with PICH to enrich the literature.

Primary intraosseous cavernous hemangioma of the cranium: a case report

Primary intraosseous cavernous hemangioma (PICH) is a rare benign vascular tumor. This neoplasm is common in the spine and less common in skull. Toynbee J. first described this tumor in 1845. PICH of the cranium does not always have typical X-ray features and should be always differentiated with other more common skull lesions. Surgical resection is preferable since total resection is followed by favorable prognosis. We present a 65-year-old patient with asymptomatic tumor of the right parietal bone. CT revealed osteolytic lesion that required total resection and skull repair. Histopathological analysis revealed intraosseous cavernous hemangioma.

Cavernous Hemangioma of Maxilla

Intra-osseous vascular lesions occur rarely in jaw bones. Intra-osseous hemangioma of the facial bones is even rarer and occurs more predominantly in the mandible than the maxilla. Diagnosis of these lesions is challenging due to inconsistent clinical and radiographic presentation. Here, we present a rare case report of a boy, aged 16 years, with an intra-osseous cavernous hemangioma of the left maxilla.

A Case of Intraosseous Cavernous Hemangioma of the Inferior Turbinate

Various types of tumors can occur within the nasal cavity, among which non-epithelial tumors are relatively rare and most are benign. Being a non-epithelial tumor, intraosseous cavernous hemangioma (ICH) is very rare and makes up 0.7% to 1.0% of the total bone tumors. It can occur anywhere in the body but mainly in the vertebrae and calvarium. In addition, when it occurs, it does mostly in the maxilla, mandible and nasal bone but uncommonly in the facial bones. It is thus extremely rare for ICHs to occur in the inferior turbinate and only five such case reports have been published to date in English literature and none in Korea. Here we report a case of ICH of the right inferior turbinate in a 43-year-old male.

Intraosseous Hemangioma of the Ethmoid Sinus: A Case Report.

Intraosseous hemangiomas usually occur in the vertebrae and skull bones, whereas those arising within the nasal cavity are exceedingly rare. Here, we describe the case of a 40-year-old woman with nasal congestion who presented to our hospital with a tumor located in the left nasal cavity. Unenhanced paranasal computed tomography revealed an approximately 3cm large mass originating from the anterior wall of the ethmoid sinus. Pre-operative imaging failed to reveal the etiology of the mass. The tumor was successfully resected using a trans-nasal endoscopic approach without pre-operative embolization. No complications occurred during the post-operative period, and there was no evidence of recurrence at the 3-month and 6-month follow-up. Histological examination of the resected specimen showed endothelium-lined blood-filled vascular spaces within the bony trabecule, suggesting a pattern typical of intraosseous cavernous hemangioma. Thus, although intraosseous hemangiomas of the nasal cavity are extremely rare, they must be considered when a bony mass is detected in the nasal cavity.

INTRAOSSEOUS CAVERNOUS HEMANGIOMA OF MANDIBLE : A RARE CASE REPORT

Intraosseous hemangiomas, mainly of the jaw bones are quite uncommon lesions (0.5-1%) of all intraosseous tumors. They are most commonly seen in second decade of life with a higher female predilection (2:1). The most common sites of occurrence are skull and vertebral column and rarely seen in the mandible. The origin of hemangiomas is still debatable. Hemangiomas are rare benign vasoformative neoplasms of endothelial origin. They usually present as a rm, painless swelling of the jaw bone with or without facial asymmetry. Cavernous hemangioma poses a diagnostic dilemma and mimics lesions like ameloblastoma, central giant cell granuloma, osteosarcoma, brous dysplasia . Here we are presenting a case report of a 28 year old female with intraosseous cavernous hemangioma of right body of mandible which was treated surgically and followed by reconstruction.

Intraosseous Skull Cavernous Hemangiomas: Case Report

Primary intraosseous cavernous hemangiomas (PICHs) is a rare hemangioma in the skull. The diagnosis and treatment need to be coordinated by related specialties, in which the gold standard for diagnosis is histopathology. • The clinical case is a 72-year-old male patient with a parietal frontal hemangioma originating in the skull, which is an intracranial cavernous hemangioma. • Treatment was consisted of vascular intervention, total cranioplasty, covering with an artificial material and a skin flap. • The patient underwent 3 surgeries to remove the tumor, the second time the pathological result was a cavernous hemangioma of the skull.

INTRAOSSEOUS CAVERNOUS HEMANGIOMA OF THE MANDIBLE: A CASE REPORT

<h3>Background</h3> Soft tissue hemangiomas are common benign vascular lesions, especially in the first decade of life. However, intraosseous hemangiomas (IHs) are very rare and comprise less than 1% of all hemangiomas. The vertebrae and long bones are common localizations for IH. They are rarely seen in the jaw and the mandible is affected 3 times as commonly as the maxilla. Here, a case of IH of the mandible is presented because of its rarity and diagnostic difficulty. <h3>Case Report</h3> A 60-year-old male patient was admitted to the Department of Head and Neck Surgery with a complaint of painless swelling in the anterior part of mandible. There were only 4 teeth in the mandible on physical examination of the patient's oral cavity. The patient was evaluated with panoramic radiography. Radiological findings were interpreted as an irregularly contoured, cystic-lytic lesion in the mandible that resulted in deformation and swelling in the mental zone. There was no feature in the patient's history. The surgeon decided on mandibular resection because the cystic-lytic lesion was suspicious for malignancy. Pathologic examination of resection specimen revealed blood-filled and thin-walled vascular spaces between the bone trabeculae. Focally intravascular papillary formations with fibrous stalks were detected. Mitotic activity, necrosis, and atypia were not seen in endothelial and stromal cells. According to pathologic findings, the case was reported as "intraosseous cavernous hemangioma." <h3>Conclusions</h3> The possibility of IH should be considered by clinicians and pathologists in cystic-lytic lesions of the mandible. Histopathology is the gold standard for exclusion of malignant lesions and for correct diagnosis.

Successful Treatment of Dacryocystocele due to Secondary Nasolacrimal Duct Obstruction by Intraosseous Cavernous Hemangioma

ëª©ì  비강내 í•´ë©´ìƒí˜ˆê´€ì¢ ì— 의한 코눈물관폐쇄 및 눈물주머니 ë‚­ì¢ ì„ 치료한 1예를 ë³´ê³ í•˜ê³ ìž 한다. 증례 요약 78세 남자 환자가 우측 내안각 부위의 ì¢ ê´´ 및 눈물흘림 증상을 주소로 내원하였다. ì¢ ê´´ëŠ” 무통성의 경계가 ë¶„ëª í•˜ê³ ë¶€ë“œëŸ¬ìš°ë©° ê³ ì •ëœ ì–‘ìƒì´ì—ˆê³ ì£¼ì‚¬ê¸° 관류검사상 우하측 누소관의 식염수가 역류되었다. 안와 ì „ì‚°í™”ë‹¨ì¸µì´¬ì˜ì—ì„œ 우측 눈물주머니의 낭성 ì¢ ê´´ 및 우측 비강내의 골성 병변이 ì „ë°© 내측에서 코눈물관을 압박하는 소견이 보였다. 안와 ìžê¸°ê³µëª ì˜ìƒì—ì„œëŠ” 다낭성 ì¢ ê´´ê°€ 우측 안와의 ì „ë‚´ì¸¡ 눈물주머니 위에 ìžˆì—ˆê³ , 비강내 골성 병변이 함께 보였다. 비강내 ì¢ ì–‘ì— 의한 코눈물관폐쇄 및 이차성 후천성 눈물주머니 ë‚­ì¢ ì§„ë‹¨í•˜ì— 코내시경을 이용하여 눈물주머니 ì¢ ê´´ë¥¼ ì™„ì „ ì œê±° 후 ì½”ê²½ìœ ëˆˆë¬¼ì£¼ë¨¸ë‹ˆì½”ì•ˆê²°ìˆ ì„ 시행하였다. 병리검사 ê²°ê³¼ 림프 소포로 구성된 눈물주머니의 만성 염증, 비강내 ì¢ ê´´ëŠ” í•´ë©´ìƒí˜ˆê´€ì¢ ìœ¼ë¡œ 진단되었다. ê²°ë¡ ë¹„ê°•ë‚´ í•´ë©´ìƒí˜ˆê´€ì¢ ì— 의해 이차성으로 발생한 눈물주머니 ë‚­ì¢ ì— 대해 코내시경을 이용한 ì¢ ì–‘ ì œê±° 및 ëˆˆë¬¼ì£¼ë¨¸ë‹ˆì½”ì•ˆì—°ê²°ìˆ ë¡œ ì„±ê³µì ìœ¼ë¡œ 치료한 1예를 ë³´ê³ í•œë‹¤. Keywords: Cavernous hemangioma, Dacryocystorhinostomy, Lacrimal duct obstruction

Orbital and Cranial Extension of an Intraosseous Cavernous Hemangioma.

Orbital and Cranial Extension of an Intraosseous Cavernous Hemangioma.

Diffuse cavernous hemangioma of the skull misdiagnosed as skull metastasis in breast cancer patient: one case report and literature review

BackgroundPrimary intraosseous cavernous hemangiomas (PICHs) of the skull are extremely rare. To date, diffuse cranial hemangioma of skull has not been reported. In cancer patients, it is often misdiagnosed as metastasis.Case presentationHere, we presented a case of a 50-year-old female patient suffering from slightly headache who received breast cancer modified radical mastectomy in 2004, computed tomography and magnetic resonance imaging findings revealed abnormal lesions of diffuse skull which were misdiagnosed as skull metastasis, and the relevant literatures were also reviewed.ConclusionsDiffuse cavernous hemangioma of the skull is exceedingly rare, and imaging data are not typical. The condition is often misdiagnosed, and pathological evaluation is necessary and important. In cases where the mass cannot be completely removed by surgery, radiotherapy could be beneficial.

Intraosseous cavernous hemangioma: presentation of a clinical case

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.

Intraosseous cavernous hemangioma of inferior turbinate:a case report

Intraosseous cavernous hemangioma of inferior turbinate:a case report

Osteofascial Radial Forearm Free Flap Reconstruction of Midface Defect After Resection of Intraosseous Hemangioma

Intraosseous hemangiomas of the midface are rare with few reported cases in the literature. Various reconstructive methods have been previously described, but none using vascularized bone graft secondary to the benign nature of the tumor and often relatively limited defect size. The authors present the case of a 47-year-old man with a biopsy proven enlarging right maxillary intraosseous cavernous hemangioma which was resected primarily, resulting in a large defect involving the entire zygomaticomaxillary buttress and a portion of the right orbital floor and malar prominence. Given the structural involvement and the significant bony defect size, this was simultaneously reconstructed using an osteofascial radial forearm free flap and orbital floor titanium implant with satisfactory outcome.

Multifocal osteolytic lesions of the skull: a primary cavernous hemangioma mimicking a neoplastic invasive lesion.

Intraosseous cavernous hemangioma is a rare cause of osteolytic lesions of the skull, and its multifocal type is even more infrequent. This tumor is difficult to accurately diagnose by imaging and can be confused with osteolytic Langerhan’s cell histiocytosis or other neoplasms. Here we present a case of multifocal intraosseous cavernous hemangioma of the skull treated with surgical intervention in our hospital five years ago. A review of related literatures and case reports is also provided to help clarify the diagnosis and devise treatment regimens. In light of the difficulties of early diagnosis, early en bloc surgical removal is recommended.

Primary Intraosseous Cavernous Hemangioma of the Proximal Tibia: A Rare Case Report

Primary intraosseous cavernous hemangioma is a rare benign skeletal tumor, which occurs at all ages, but is more common in the 4th decade of life. Bone hemangioma is a vascular hemartoma of bone structures and primary lesion accounts for less than 1% of all bone tumors with a male to female ratio of 1/1.5. We present a rare case of a 55 year old female patient, presenting with complaints of knee pain for 2 years with no significant traumatic history. Radiological investigation was done and patient then underwent tumor excision with curettage and bone cementing of the right proximal tibia. Histopathological sample was later diagnosed as cavernous hemangioma.