Updated: 3/21/2017

Hemangioma

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https://upload.orthobullets.com/topic/8033/images/Case D - spine - xray - parsons_moved.jpg
https://upload.orthobullets.com/topic/8033/images/Case D - spine - CT - parsons_moved.jpg
https://upload.orthobullets.com/topic/8033/images/Histology B - moderate - parsons_moved.jpg
https://upload.orthobullets.com/topic/8033/images/Case C - spine - xray - parsons_moved.jpg
https://upload.orthobullets.com/topic/8033/images/Histology C - hig - parsons_moved.jpg
https://upload.orthobullets.com/topic/8033/images/Case A - pelvis - xray - parsons_moved.jpg



Introduction
  • A benign vascular tumor of bone that often occurs in the vertebral bodies and cranio-facial bones
Presentation
  • Symptoms
    • may be asymptomatic
    • may present with pain or pathologic fx 
Imaging
  • Radiographs
    • lytic lesion characteristic vertical striations giving a "honey-comb" or "jail-bar" appearance 
    • may be multi-focal
  • Bone scan is warm to hot
Histology
  • Characteristic histology
    • cavernous lesions with numerous thin walled blood vessels 
Treatment
  • Nonoperative
    • observation along is indicated if the patient is asymptomatic
  • Operative
    • curettage and bone grafting
      • indicated if the lesion is symptomatic and accessible
    • low dose radiation (25 to 40 Gy)
      • indicated if the lesion is symptomatic and inaccessible 

Image Bank
  Location
Xray
Xray
CT
B. Scan
MRI
MRI
Histo(1)
Case A pelvis  
Case B pelvis  
Case C spine  
Case D spine  
Case E spine  
(1) - histology does not always correspond to clinical case
 

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