Intraosseous Hemangioma Research Articles

Recurrence of Cortical Venous Haemangioma in the Tibia: Interest of Sclerotherapy

We report on a rare case of an intra-osseous haemangioma involving the medial portion of tibia in a 29-year-old man. The aim is to emphasize on diagnosis difficulties, possible recurrence and interest of sclerotherapy. In radiographs, the lesion was a well-defined osteolytic lesion having 3 mm of diameter with perimeter’s sclerosis. The computed tomography images demonstrated an intra-medullar gap’s image of the tibia with cortical participation. An osteoid osteoma was evocated but eliminated by the histhological examination. The osseous scintigraphy didn’t find any anomaly. The outcome was marked by the recurrence of pain. T1-weighted Magnetic resonance imaging showed a hypointense lesion, while T2-weighted images revealed hyperintense areas, with internal, hypointense septa. Gadolinium-enhanced T1-weighted images showed lattice-like enhancement of the lesion. These images signed a recurrence of the intra-osseous venous haemangioma. The sclerotherapy improved the pain in three days and prevented another recurrence.

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.

Cavernous hemangioma of the skull and meningioma: association or coincidence?

Intraosseous cavernous hemangiomas of the skull are rare. Meningiomas are quite frequently encountered in a neurosurgical practice. The association between these two entities is nevertheless very uncommon. The authors present a case of a 72-year-old woman suffering from headache. The MRI showed a parietal meningioma with adjacent thick bone. The meningioma and the bone were removed. The histological examination confirmed the diagnosis of meningioma and revealed a cavernoma of the skull. The relationship between the lesions suggests more than a coincidental association. Several hypotheses are proposed to explain common causal connections.

A Case of Removal of Medial Maxillary Intraosseous Hemangioma through an Intranasal Endoscopic Prelacrimal Recess Approach

Currently, most sinonasal lesions are treated using a transnasal endoscopic approach, but some areas of the maxillary sinus, such as the prelacrimal recess, may not be visualized and accessible. To overcome these limitations, several surgical techniques have been used, such as the Caldwell-Luc procedure and endoscopic medial maxillectomy. The intranasal endoscopic prelacrimal recess approach (PLRA) is a novel technique to address maxillary sinus lesions. We have successfully applied this approach to manage a bony lesion of the maxilla.

Intra-Osseous Hemangioma of The Mandible: A Case Report

Arterio-venous malformations of the jaws are a very rare pathology, but can lead to fatal complications. Presented is the case of a young female patient who was referred to our hospital based on the clinical and radiological diagnosis of an odontogenic cyst related to the first molar in the right mandible. Due to a suspicious mobility of the tooth and root resorption a biopsy and tooth extraction was planned under general anaesthesia. Already during mobilisation of the tooth an enormous threatening bleeding occurred which forced in addition to surgical revision, immediate embolisation and intensive care treatment? The patient recovered well from the treatment without any long-term complications or damages. The later histo-pathological findings supported the intraoperative diagnosis of an intra-osseous haemangioma.

Successful treatment of solitary intraosseous haemangioma of the femoral neck: a case report

Intraosseous haemangiomas (IOHs) are benign vascular bone tumours that account for 1% of all primary bone tumours. They are most frequently seen in the vertebrae and skull, and are rarely found in long bones. Herein, we present an uncommon case of a 25-year-old woman with a solitary IOH that occupied the left femoral neck. We describe the clinical, radiological and histological details of the case, as well as the three-year outcome of the surgical treatment, which successfully preserved the femoral head. We also conducted a review of the literature on this uncommon entity.

비골에서 발생한 골내 혈관종 1예

비골에서 발생한 골내 혈관종 1예

Intraosseous Mandibular Hemangioma: Clinical and Radiographic Features

Intraosseous Mandibular Hemangioma: Clinical and Radiographic Features

Intraosseous hemangioma of the middle turbinate misdiagnosed as a nasal polyp.

Intraosseous hemangiomas account for 1% of all bone tumors and primarily originate from the vertebral column and skull bones. However, intraosseous hemangiomas of the nasal cavity are extremely rare. Here, we report a case of intraosseous hemangioma with a cavernous pattern arising from the middle turbinate that was preoperatively misdiagnosed as chronic rhinosinusitis with polyps. Except for nasal obstruction, there were no specific rhinologic symptoms. The tumor was excised en bloc by the endoscopic endonasal approach without preoperative embolization.

The Role of Radiotherapy in the Treatment and Diagnosis of Pseudomalignant Vertebral Haemangiomatosis: A Case Report

Primary intraosseous haemangiomas represent benign endothelial neoplasms that are often discovered incidentally in approximately 10 to 12 percent of the general population. Although bony haemangiomas can be found in many regions of the appendicular and axial skeleton, most of which remain asymptomatic, those that arise in the vertebral column have the potential to elicit pain and cause neurological deficits in certain patients. In fact, a subset of primary vertebral intraosseous haemangiomas have been shown, albeit extremely rarely, to demonstrate aggressive, destructive and even malignant behavior. From a clinical and therapeutic standpoint, it is essential to recognize that such lesions possess certain radiological and nuclear imaging characteristics that, when observed in conjunction with patient decline, correlate strongly with the atypical and aggressive neoplasms. Ultimately, such lesions have the potential to give rise to an extremely uncommon, widespread, highly debilitating form of haemangiomatous pathology, hereafter termed ''pseudomalignant haemangiomatosis''. Fortunately, treatment in the form of directed radiotherapy has shown remarkable results in regards to symptomatic relief and complete neurologic restoration.

Posttraumatic Cavernous Hemangioma of the Skull

A 59-year-old man presented with a slowly enlarging mass in the lateral orbital rim of the left eye for 1 year. He also reported a history of crania defect in the left front bone (6 years earlier) which was confirmed on the former computed tomographic (CT) scan. On examination, the solid mass lesion located in the left frontal extends to the lateral orbital rim of the left eye. CT scan showed a mass with poorly defined margins, which invaded the neighboring tissue and nearly damaged the bone, and located on the exact site of the preceding crania defect. Complete resection was performed, and the clinical diagnosis of cavernous hemangioma was confirmed on histopathologic examination. Skull cavernous hemangiomas are rare tumors for which the origin is not yet clear. We report a case in which the intraosseous hemangiomas developed at the same site of the preceding crania defect.

Radiologic features of intraosseous hemangioma: A diagnostic challenge

Intraosseous vascular lesions are rare conditions, comprising only 0.5% to 1% of all intraosseous tumors. They present with variable and atypical radiographic appearances. Because of this variation, no pathognomonic sign exists that can be used to make a definite clinical diagnosis of these tumors. But, early diagnosis of central hemangioma is essential for preventing uncontrollable hemorrhage and even death during biopsy or surgery. The purpose of this article is to stress on the importance of radiology in the timely diagnosis of such lesions, which can prevent the disaster not only to the patient but also to oral surgeon in legal and professional aspects.

Intraosseous Hemangioma of the Mandible: Case Report and Review of the Literature

Se presenta en una paciente de sexo femenino de dos anos que presento expansion del lado izquierdo de la rama y cuerpo de la mandibula. Los estudios de imagenes revelaron una lesion con caracteristicas sugerentes a un origen vascular. El analisis histopatologico determino la presencia de un hemangioma intraoseo. Se realizo la embolizacion guiada por angiografia de la arteria carotida externa izquierda junto y seguimiento de control para supervisar la regresion de la lesion.

Intraosseous hemangioma arising in the clavicle

Intraosseous hemangioma (IH) is commonly seen in the vertebral column and skull: however, IH occurring in the appendicular skeleton, including the clavicle, is uncommon. We herein report the case of a 69-year-old female presenting with IH of the left clavicle. The findings of preoperative imaging studies, including radiographs, computed tomography (CT), magnetic resonance imaging, fluorine-18-fludeoxyglucose ((18)F-FDG) positron emission tomography (PET)/CT and ultrasonography, are described. In particular, (18)F-FDG PET/CT showed an ill-defined osteolytic lesion with abnormally high FDG uptake. Surgical en bloc resection with preoperative embolization was carried out and a histopathological examination confirmed the presence of an intraosseous cavernous hemangioma in the clavicle.

Cranio-orbital primary intraosseous haemangioma

Primary intraosseous haemangioma (IOH) is a rare benign neoplasm presenting in the fourth and fifth decades of life. The spine and skull are the most commonly involved, orbital involvement is extremely rare. We describe six patients with cranio-orbital IOH, the largest case series to date. Retrospective review of six patients with histologically confirmed primary IOH involving the orbit. Clinical characteristics, imaging features, approach to management, and histopathological findings are described. Five patients were male with a median age of 56. Pain and diplopia were the most common presenting features. A characteristic 'honeycomb' pattern on CT imaging was demonstrated in three of the cases. Complete surgical excision was performed in all cases with presurgical embolisation carried out in one case. In all the cases, histological studies identified cavernous vascular spaces within the bony tissue. These channels were lined by single layer of cytologically normal endothelial cells. IOCH of the cranio-orbital region is rare; in the absence of typical imaging features, the differential diagnosis includes chondroma, chondrosarcoma, bony metastasis, and lymphoma. Surgical excision may be necessary to exclude more sinister pathology. Intraoperative haemorrhage can be severe and may be reduced by preoperative embolisation.

Intraosseous Hemangioma as a Rare Differential Diagnosis of Intranasal Bony Tumor

Intraosseous hemangioma is a benign vascular tumor of the bone. The most common site of this tumor is the vertebral body, followed by calvarial bones. Intraosseous hemangioma of the nasal cavity is extremely rare. This lesion had en bloc been resected through the endoscopic approach without preoperative embolization, significant intraoperative bleeding, and postoperative events. We report a rare case of intraosseous hemangioma of the nasal cavity with distinctive radiologic findings. Clinicians should be well familiar with the radiologic findings and clinical features of this tumor, which would be helpful in making a correct diagnosis and management plan.

Primary Intraosseous Cavernous Hemangioma of the Clivus: Case Report and Review of the Literature

Primary intraosseous hemangiomas are benign, vascular malformations that account for approximately 1% of all primary bone neoplasms. These tumors are mostly found in vertebral bodies and are rarely seen in the calvarium, where they represent 0.2% of bony neoplasms. When found in the skull, they tend to present with vague symptoms and do not have the typical radiological findings suggestive of hemangiomas. Because of this, these tumors can be missed in many cases or may be misinterpreted as more ominous lesions like multiple myeloma or osteosarcoma. Involvement of the skull base is exceedingly rare, and presentation with cranial nerve unilateral polyneuropathies has not been reported. We report a patient case with review of recent pertinent literature.

Primary Intraosseous Hemangioma in the Frontal Bone

Primary Intraosseous Hemangioma in the Frontal Bone

PP102: Intraosseous hemangioma of the mandible: An unusual presentation

Purpose Hemangioma is a benign vascular tissue neoplasm arising from the vascular tissue which generally occurs during infancy. Intraosseous hemangiomas are uncommon, constituting less than 1% of all osseous tumors. The most frequent sites are the calvaria and the vertebral column. Involvement of the facial bones is rare. The purpose of this presentation is to report an unusual presentation of an intraosseous hemangioma, its diagnosis and treatment outcome. Material and method A 37 year old female patient was referred to our clinic with paresthesia complaint in the lower lip. Her medical history did not indicate any systemic diseases. Intraoral examination showed no pathology. Panoramic radiography revealed a radiolucent lesion with irregular lytic borders in the right edentulous posterior region of mandible. Under local anesthesia, curettage of the lesion was performed. Results Histopathological examination showed many large and dilated endothelial sinuses which contained aggregates of erythrocytes inside connective tissue and bone marrow, indicating intraosseous hemangioma. Conclusion Intraosseous hemangiomas present difficulty in differential diagnosis. It is a bone destructive lesion which may be of varying size and appearance, but is often suggestive of a cyst. Severe haemorrhage following trauma or tooth extraction has been reported. The patient’s medical history and previous extractions in the lesion site did not show any haemorrhage indicating a lesion with a severe risk of bleeding. Also, radiographic findings did not correlate with the common signs of an intraosseous hemangioma. Treatment of intraosseous hemangioma is difficult and is done by local excision for smaller lesions and larger lesions are excised after pretreatment with sclerosing agents. Differential diagnosis and careful treatment planning is of crucial importance in hemangiomas considering the severe complications such as haemorrhage.

Intraosseous Hemangioma: A Case Report and Review of Literature

ABSTRACTIntraosseous vascular lesions are rare conditions, comprising only 0.5 to 1% of all intraosseous hemangioma tumors. They mainly occur in the second decade of life especially in female. The most common locations are the vertebral column and skull; nevertheless, the mandible is quite rare location. Hemangiomas are benign vasoformative neoplasms of endothelial origin. However, the origin of central hemangioma is debatable. Cavernous hemangioma produces dilemma in diagnosis with central gaint cell tumor, aneurysmal bone cyst, ameloblastoma, cystic lesion such as residual cyst, keratocyst and fibro-osseous lesions, such as fibrous dysplasia being frontier in clinical diagnosis. Here, we report a 6 years male with cavernous hemangioma of mandible.How to cite this articleChauhan YS, Mukherji S. Intraosseous Hemangioma: A Case Report and Review of Literature. Int J Head Neck Surg 2013;4(2):66-69.