Research Center & Department of Pathology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Korean J Radiol. 2010 Nov-Dec;11(6):692-6. doi: 10.3348/kjr.2010.11.6.692. Epub 2010 Oct 29.
An epithelioid hemangioma involving three contiguous bones in continuity has, to the best of our knowledge, not been reported in the literature. A case of a 48-year-old man presented with radiating pain to the lower thoracic region for two years. A radiograph and CT scan revealed both permeative osteolytic and multiple trabeculated lesions involving the left posterior part of the 10th rib as well as the 9th and 10th vertebral bodies in continuity and was misled as a malignant or infectious lesion. The histopathology and immuno-histochemistry of the lesion confirmed the diagnosis of an epithelioid hemangioma. The lesion was still stable as of three years after surgery.
据我们所知，文献中尚未报道过累及三个连续骨段的上皮样血管瘤。我们报告一例 48 岁男性，其胸下段有放射痛病史两年。X 线片和 CT 扫描显示第 10 肋骨后段、第 9 至 10 椎体连续性多灶性溶骨性和骨小梁病变，误诊为恶性或感染性病变。病变的组织病理学和免疫组织化学检查结果证实为上皮样血管瘤。术后 3 年，病变仍稳定。
